Individual
KERRY CHRISTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 EXECUTIVE DR, SAN DIEGO, CA 92121-3021
(858) 450-5000
(858) 450-0105
Mailing address
2337 SEASIDE ST, SAN DIEGO, CA 92107-1406
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180515
CA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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