Individual
MIA WEITMAN NEUSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
71777 SAN JACINTO DR STE 202, RANCHO MIRAGE, CA 92270-4457
(888) 743-7526
Mailing address
12122 ROYAL BIRKDALE ROW UNIT 303W, SAN DIEGO, CA 92128-4486
(858) 663-3223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-166449
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
95016859
CA
363LW0102X
Women's Health Nurse Practitioner
95240569
CA
Other
Enumeration date
04/02/2019
Last updated
03/04/2021
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