Individual
CHANEL MARISCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16200 SAND CANYON AVE, IRVINE, CA 92618-3714
(949) 517-3010
Mailing address
14425 ALICANTE RD, LA MIRADA, CA 90638-3609
(714) 743-2817
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95141894
CA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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