Individual
MS. MICHELLE RENEE ZITTLAU-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3850
(619) 398-0355
(619) 398-0350
Mailing address
1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110-3850
(619) 398-0355
(619) 398-0350
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95228125
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95228125
CA
Other
Enumeration date
09/16/2020
Last updated
09/21/2020
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