Individual
HANNAH MULDOON BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3511 CAMINO DEL RIO S, SAN DIEGO, CA 92108-4003
(619) 436-4263
Mailing address
6372 STANLEY AVE, SAN DIEGO, CA 92115-4146
(619) 756-2856
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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