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Individual

BERTHA SEVILLA GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
474 W VERMONT AVE STE 104, ESCONDIDO, CA 92025-6584
(760) 432-9884
(760) 432-9953
Mailing address
9465 FARNHAM ST, SAN DIEGO, CA 92123-1308
(760) 432-9884

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CA

Other

Enumeration date
01/26/2022
Last updated
01/26/2022
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