Individual
MRS. CLARITA CAYABAN MACELLVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1300 W 7TH ST, SAN PEDRO, CA 90732-3505
(310) 514-5359
Mailing address
1300 W 7TH ST, SAN PEDRO, CA 90732-3505
(310) 514-5359
(310) 514-5342
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
540493
CA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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