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Individual

MRS. MARI LUISA SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
301 VICTORIA ST, COSTA MESA, CA 92627-7131
(949) 642-2734
Mailing address
301 VICTORIA ST, COSTA MESA, CA 92627-7131
(949) 642-2734

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
95057694
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95057694
CA

Other

Enumeration date
08/31/2021
Last updated
02/02/2022
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