RENOVA SAN DIEGO

SAN DIEGO, CA
NPI1285362772
Former Legal Business NameDR BEN INOUYE AND DR LISA J PALMER FOUNDATION FOR FAMILY
Entity TypeOrganization
Authorized ContactHEATHER PEDERSON
Clinical Director
858-522-0179
Organization Subpart ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2022-08-11
Last Update Date2022-08-11
Business Address
RENOVA SAN DIEGO
12396 WORLD TRADE DR STE 109
SAN DIEGO, CA 92128-3787
Phone number: 619-895-0509
Mailing Address
RENOVA SAN DIEGO
12396 WORLD TRADE DR STE 109
SAN DIEGO, CA 92128-3787
Phone number: