Individual
MARCEL ENRIQUE RAUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
32605 TEMECULA PKWY STE 202, TEMECULA, CA 92592-6838
(858) 427-5060
Mailing address
748 E HOLT BLVD, ONTARIO, CA 91761-1850
(818) 572-3988
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95016623
CA
Other
Enumeration date
02/09/2021
Last updated
04/25/2022
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