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Tivi Mauro, PAC

NPI 1770303323 · on the registry since 2024

Practice

Address
3910 Ingraham St Apt 14-104
San Diego, CA 92109
Phone
(716) 573-6333

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-16

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