Individual
ANJELICA THERESE PASCUAL COSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103
(858) 657-7000
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
790885
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95008222
CA
364SA2100X
Acute Care Clinical Nurse Specialist
4681
CA
Other
Enumeration date
03/12/2018
Last updated
07/24/2018
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