Provider Information for 1396050787
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Ms. ANA-LISA I.E. BARTELT MA, MFT
Other Names:Former Name:Ms. ANNA BARTELTSex: Female
NPI: 1396050787
Last Updated: 2020-07-14
Certification Date: 2020-07-14
Certification Date: 2020-07-14
Details
| Name | Value | ||||||||||||
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| NPI | 1396050787 | ||||||||||||
| Enumeration Date | 2010-08-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 3775 WILD OATS LN BONITA, CA 91902-3059 United States Phone: 808-741-1019 | Fax: | ||||||||||||
| Primary Practice Address | 855 BOWSPRIT RD CHULA VISTA, CA 91914-4529 United States Phone: 808-535-7600 | Fax:808-535-7630 | ||||||||||||
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