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Organization
ENVISION PERSONALIZED HEALTH
Active
Organization
ENVISION PERSONALIZED HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA L BILLEN (MANAGER)
(619) 229-9695
Entity
Organization
Contact information
Practice address
4620 ALVARADO CANYON RD, SUITE 14, SAN DIEGO, CA 92120-4320
(619) 229-9695
(619) 229-9666
Mailing address
4620 ALVARADO CANYON RD, SUITE 14, SAN DIEGO, CA 92120-4320
(619) 229-9695
(619) 229-9666
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
2255A2300X
Athletic Trainer
—
NULL
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
01/19/2013
Last updated
01/19/2013
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