Individual
MRS. TAWNYA LEE MACCHIARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3860 CALLE FORTUNADA STE 210, SAN DIEGO, CA 92123-4802
(858) 309-6303
(858) 309-6301
Mailing address
5310 VALLE VIS, LA MESA, CA 91941-4259
(858) 966-8800
(858) 966-6769
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
471188
CA
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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