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Individual
MRS. MISHALA MONIQUE EDWARDS
Active
Individual
MRS. MISHALA MONIQUE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
766311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0150193
MEDI-CAL
CA
Enumeration date
03/15/2010
Last updated
03/15/2010
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