Individual
MRS. ALICE J SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, PHN, MS
Contact information
Practice address
104 BARNES ST, OCEANSIDE, CA 92054-3406
(760) 967-4622
(760) 967-4644
Mailing address
104 BARNES ST, OCEANSIDE, CA 92054-3406
(760) 967-4622
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN318029
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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