CHELSEA PROVENZANO

LA MESA, CA
NPI1033631700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95006939)
Enumeration Date2017-07-13
Last Update Date2017-07-13
Business Address
CHELSEA PROVENZANO MSN, FNP- C
8851 CENTER DR STE 408
LA MESA, CA 91942-3076
Phone number: 619-583-1174
Mailing Address
CHELSEA PROVENZANO MSN, FNP- C
13627 SUNSET VIEW RD
POWAY, CA 92064-5051
Phone number:
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