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Organization
IVITA, LLC
Active
Organization
IVITA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA RAZO FNP-BC (OWNER)
(888) 322-6432
Entity
Organization
Contact information
Practice address
590 RANCHO DE ORO RD, ESCONDIDO, CA 92026-3926
(888) 322-6432
(888) 329-6432
Mailing address
590 RANCHO DE ORO RD, ESCONDIDO, CA 92026-3926
(888) 322-6432
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95002919
CA
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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