Individual
KUSHUM PHUYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
(619) 596-5501
Mailing address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
(619) 596-5501
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95143980
CA
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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