CIELITO CINCO ICO

SAN DIEGO, CA
NPI1225534639
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA  849337)
Enumeration Date2018-04-04
Last Update Date2018-04-04
Business Address
CIELITO CINCO ICO RN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
Mailing Address
CIELITO CINCO ICO RN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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