Individual
MS. MIRTA LIZANIA HIGUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1359 N GRAND AVE, COVINA, CA 91724-1016
(626) 430-2857
Mailing address
1359 N GRAND AVE, COVINA, CA 91724-1016
(626) 430-2900
(626) 331-0035
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
499174
CA
164W00000X
Licensed Practical Nurse
499174
CA
Other
Enumeration date
05/14/2008
Last updated
04/21/2021
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