Individual
MISS AE ANNYE SENETHACHITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
690 OXFORD ST, SUITE H, CHULA VISTA, CA 91911-7111
(619) 409-3135
(619) 409-3388
Mailing address
3166 PITCAIRN ST, SAN DIEGO, CA 92154-1519
(619) 271-8706
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
548376
CA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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