Individual
DR. MARY E HINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7967 BROADWAY, LEMON GROVE, CA 91945-1809
(619) 741-7423
(619) 713-2589
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 280-4213
(619) 280-3545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G53481
CA
208D00000X
General Practice Physician
Primary
G53481
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G53481
—
CA
Enumeration date
04/24/2007
Last updated
01/04/2012
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