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Individual

MS. UTE POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, PHN

Contact information

Practice address
690 OXFORD ST, CHULA VISTA, CA 91911-7111
(619) 409-3117
Mailing address
690 OXFORD STREET, CHULA VISTA, CA 91911-3022
(619) 409-3117

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
555337
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
555337
RN LICENSE #
CA
Enumeration date
04/03/2007
Last updated
02/22/2010
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