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MICHAEL ANGELO BALLESTEROS ABARIENTOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN, RN, PHN, CSR

Contact information

Practice address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
(619) 596-5501
Mailing address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
(619) 596-5501

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95155191
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95155191
CA

Other

Enumeration date
07/16/2020
Last updated
01/22/2024
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