NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1902115108 | AVIDANO | EUGENIA |   |   | 1340 IMPERIAL BEACH BLVD | IMPERIAL BEACH | CA | 919323046 |
1962532713 | FERINGA | MARILU | CARMEN |   | 1340 IMPERIAL BEACH BLVD | IMPERIAL BEACH | CA | 919323046 |
1093042608 | MANRIQUEZ-JIMENEZ | LESLIE | ELENA |   | 1424 30TH ST STE A | SAN DIEGO | CA | 921543417 |
1457481855 | MONTANO | NICOLAS |   |   | 1340 IMPERIAL BEACH BLVD | IMPERIAL BEACH | CA | 919323046 |