Organization
ELLE MATERNAL WELLNESS, NURSING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZINNIA AMARESH KIDANE NP (CEO)
(858) 766-5645
Entity
Organization
Contact information
Practice address
928 FORT STOCKTON DR STE 213, SAN DIEGO, CA 92103-1890
(858) 766-5645
Mailing address
9920 PACIFIC HEIGHTS BLVD STE 150, SAN DIEGO, CA 92121-4361
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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