Individual
CHARLENE MAICO REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 FAIRMOUNT AVE, SAN DIEGO, CA 92105-3422
(619) 980-5213
Mailing address
3660 FAIRMOUNT AVE, SAN DIEGO, CA 92105-3422
(619) 980-5213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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