Organization
CORE INTRAVENOUS SOLUTIONS INC
Active
Organization
CORE INTRAVENOUS SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY S NISSEN RN (OWNER)
(619) 886-5057
Entity
Organization
Contact information
Practice address
2815 CAMINO DEL RIO S STE 115, SAN DIEGO, CA 92108-3816
(619) 886-5057
(760) 758-4428
Mailing address
PO BOX 881304, SAN DIEGO, CA 92168-1304
(619) 886-5057
(760) 758-4428
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
532252
CA
261QI0500X
Infusion Therapy Clinic/Center
Primary
A77209
CA
Other
Enumeration date
10/23/2012
Last updated
04/03/2013
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