CHARISSA LAKE

SAN DIEGO, CA
NPI1124479225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-06-29
Last Update Date2016-06-29
Business Address
-- CHARISSA LAKE
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-642-3345
Mailing Address
-- CHARISSA LAKE
3350 LA JOLLA VILLAGE DR ADMINISTRATION BUILDING #27, SUITE 2106.B
SAN DIEGO, CA 92161-0002
Phone number: 858-642-3345
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