Individual
MINERVA BANZALI SANSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24562 DARDANIA AVE, MISSION VIEJO, CA 92691-4623
(949) 716-9222
(949) 742-6355
Mailing address
6 WILLOWBROOK LN, RANCHO SANTA MARGARITA, CA 92688-5551
(949) 295-6854
(949) 742-6355
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
6030903740
CA
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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