Individual
REETA VETRIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITONER
Contact information
Practice address
1510 E MAIN ST STE 101, SANTA MARIA, CA 93454-4826
(805) 612-5583
Mailing address
1510 E MAIN ST STE 101, SANTA MARIA, CA 93454-4826
(805) 612-5583
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95008356
CA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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