Organization · Type 2 NPI

Mary Lydia Engles

Specialist · San Diego, CA

NPI number 1104917095 Active

Practice location

4120 West Point Loma Blvd
San Diego, CA 92110-5605

Call (619) 226-4131 Map

Fax (619) 226-4124

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT6252 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104917095

Mary Lydia Engles's National Provider Identifier is 1104917095, issued on Sep 27, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on May 7, 2012.