Sophia A Gualta, RN
Registered Nurse, Community Health in San Diego, CA. Individual provider (NPI-1).
NPI number1154516797
StatusActive
Last updated in NPPESSep 6, 2007
Details
- NPI
- 1154516797
- Entity type
- Individual (NPI-1)
- Name
- Sophia A Gualta
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2007
- Last updated
- Sep 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC1500X | Registered Nurse, Community Health | RN482037 | CA | Yes |
Practice location
3851 Rosecrans StSan Diego, CA 92110-3134
Phone 619-692-8808 · Fax 619-692-8827
Mailing address
3851 Rosecrans StSan Diego, CA 92110-3134
Phone 619-692-8808 · Fax 619-692-8827
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