Individual
MARIVIC AMBROCIO PAYNITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8778 CUYAMACA ST, SANTEE, CA 92071-4255
(619) 449-5555
Mailing address
1262 RIVIERA SUMMIT RD, SAN DIEGO, CA 92154-4815
(619) 483-8500
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
654633
CA
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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