Individual
MRS. ANITA MINICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
1420 S CENTRAL AVE, GLENDALE, CA 91204-2508
(818) 502-4567
(818) 502-4568
Mailing address
31542 CALLE LOS PADRES, TEMECULA, CA 92592-5816
(951) 303-0325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202949
CA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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