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1437695079
RIA COSTALES MARTIN
SAN DIEGO, CA
NPI
1437695079
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Former Name
RIA SHARO COSTALES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95005321)
Enumeration Date
2017-01-06
Last Update Date
2023-08-18
Business Address
RIA COSTALES MARTIN FNP
5454 EL CAJON BLVD
SAN DIEGO, CA 92115-3621
Phone number: 619-515-2400
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Mailing Address
RIA COSTALES MARTIN FNP
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number:
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