Laura Denise Victoria
Spec/Tech, Health Info in San Diego, CA. Individual provider (NPI-1).
NPI number1790476489
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1790476489
- Entity type
- Individual (NPI-1)
- Name
- Laura Denise Victoria
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2023
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Y00000X | Spec/Tech, Health Info | – | – | Yes |
Other names
- Laura Denise Estrada (Other Name)
Practice location
3148 Midway Dr # 113San Diego, CA 92110-4539
Phone 619-363-0853 · Fax 619-362-9905
Mailing address
3148 Midway Dr Ste 113San Diego, CA 92110-4539
Phone 619-363-0853 · Fax 619-362-9905
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