Individual
MARY SARAH HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
427 C ST STE 212, SAN DIEGO, CA 92101-5121
(619) 238-4180
(619) 238-4245
Mailing address
7986 DAGGET ST. (CATALYST), SAN DIEGO, CA 92111
(858) 300-0460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9201444
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95005746
CA
Other
Enumeration date
12/28/2010
Last updated
08/04/2017
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