Individual
ABIGAIL MINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
507 TELEGRAPH CANYON RD, CHULA VISTA, CA 91910-6436
(619) 616-6788
Mailing address
507 TELEGRAPH CANYON RD, CHULA VISTA, CA 91910-6436
(619) 616-6788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95263266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073278909
NATIONAL PROVIDER IDENTIFIER
CA
Enumeration date
11/04/2021
Last updated
11/10/2021
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