Individual
KHAREZA MAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5059 EL CAJON BLVD, SAN DIEGO, CA 92115-3348
(619) 583-7720
Mailing address
8266 STATION VILLAGE LN APT 2610, SAN DIEGO, CA 92108-5590
(619) 362-5903
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
28622
CA
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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