Individual
MARIEVEL CRISTOBAL JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4519
(714) 834-6900
Mailing address
405 W 5TH ST, SANTA ANA, CA 92701-4519
(714) 834-6900
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN428037
CA
Other
Enumeration date
09/25/2006
Last updated
05/02/2008
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