Individual
MAYLENE ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10218 BLACK MOUNTAIN RD APT 57, SAN DIEGO, CA 92126-3806
(858) 397-2180
Mailing address
10218 BLACK MOUNTAIN RD APT 57, SAN DIEGO, CA 92126-3806
(858) 397-2180
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9559
CA
251E00000X
Home Health Agency
9559
CA
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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