Individual
MRS. BERTHA ORALIA URIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4917 BLACK CORAL CT, SAN DIEGO, CA 92154-8565
(619) 781-2522
Mailing address
652 FERGUS ST, SAN DIEGO, CA 92114-2427
(619) 754-0102
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A9672982
DRIVER LICENSE
CA
Enumeration date
09/23/2019
Last updated
09/23/2019
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