Individual
MRS. LIZETTE MATHIASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
541 F ST, CHULA VISTA, CA 91910-3509
(619) 392-6297
Mailing address
541 F ST, CHULA VISTA, CA 91910-3509
(619) 392-6297
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
635297
CA
Other
Enumeration date
09/29/2017
Last updated
07/31/2024
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