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Ivy Sheryl Difuntorum
NPI 1497069348 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1520 Clearwater Rdg
Vista, CA 92081 - Phone
- (760) 716-7298
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California