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Organization
EXTENSIVE HEALTHCARE PROVIDERS A NURSING PROFESSIONAL CORPORATION
Active
Organization
EXTENSIVE HEALTHCARE PROVIDERS A NURSING PROFESSIONAL CORPORATION
Active
Other names
Extensive Healthcare Providers
Organization subpart
No
Provider details
NPI number
Authorized official
MAE PET FETHERLIN (CEO & PRESIDENT)
(619) 395-8558
Entity
Organization
Contact information
Practice address
1634 PLANTATION WAY, EL CAJON, CA 92019-3603
(619) 395-8558
Mailing address
1634 PLANTATION WAY, EL CAJON, CA 92019-3603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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