MARISA DEPTALA

CHULA VISTA, CA
NPI1083166615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95005347)
Enumeration Date2016-10-31
Last Update Date2018-04-13
Business Address
MARISA DEPTALA FNP
450 4TH AVE STE 408
CHULA VISTA, CA 91910-4430
Phone number: 619-691-1990
Mailing Address
MARISA DEPTALA FNP
450 FOURTH AVE STE 408
CHULA VISTA, CA 91910-4430
Phone number:
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