Individual
MRS. CHARLOTTE MARIA PRIMO MIZUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
2001 E 4TH ST STE 200, SANTA ANA, CA 92705-3916
(714) 824-8140
Mailing address
2001 E 4TH ST STE 200, SANTA ANA, CA 92705-3916
(714) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012967
CA
Other
Enumeration date
10/11/2019
Last updated
03/03/2020
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