REBECCA PRAKASH

SAN DIEGO, CA
NPI1164963716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95008207)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MD  R215956)
363LA2200X Nurse Practitioner Adult Health
(Licence: CA  95008207)
363LG0600X Nurse Practitioner Gerontology
(Licence: CA  95008207)
Enumeration Date2017-03-15
Last Update Date2021-05-11
Business Address
REBECCA PRAKASH CRNP
5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA 92121-4250
Phone number: 858-859-1188
Mailing Address
REBECCA PRAKASH CRNP
5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA 92121-4250
Phone number: 858-859-1188