Individual
ASHLEY EVA SPONG REITZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 OLD TOWN AVE, BLDG. C SUITE 201, SAN DIEGO, CA 92110-2930
(619) 278-2400
Mailing address
PO BOX 151240, SAN DIEGO, CA 92175-1240
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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