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Organization
ALLIANCE MOBILE NURSING PRACTITIONER INC
Active
Organization
ALLIANCE MOBILE NURSING PRACTITIONER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE VAN DO (CEO/OWNER)
(858) 380-6983
Entity
Organization
Contact information
Practice address
4579 MAPLE AVE STE 1, LA MESA, CA 91941-3154
(760) 481-9946
(760) 560-2369
Mailing address
408 PALMAC ST, SAN MARCOS, CA 92069-1315
(760) 481-9946
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
05/15/2024
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