Individual
EDNA CULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14562 HIGH PINE ST, POWAY, CA 92064-5918
(858) 668-1750
Mailing address
14562 HIGH PINE ST, POWAY, CA 92064-5918
(858) 922-3504
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
4361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4361
BRN
CA
Enumeration date
02/03/2016
Last updated
02/03/2016
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