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1962052423
LENINA MUTYA MENTA VIZCOCHO
SAN DIEGO, CA
NPI
1962052423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 95194829)
Enumeration Date
2019-09-17
Last Update Date
2019-09-17
Business Address
Ms. LENINA MUTYA MENTA VIZCOCHO RN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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Mailing Address
Ms. LENINA MUTYA MENTA VIZCOCHO RN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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