Individual
MRS. LETISHA KATHLEEN KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
724 GRANADA DR, VISTA, CA 92083-4731
(951) 719-0109
Mailing address
724 GRANADA DR, VISTA, CA 92083-4731
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
555959
CA
163WM0705X
Medical-Surgical Registered Nurse
Primary
95098353
CA
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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