Individual
LARISSA VISHTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
41840 ENTERPRISE CIR N, TEMECULA, CA 92590-5654
(760) 737-6960
(760) 741-2782
Mailing address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 737-6960
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5529
CA
Other
Enumeration date
02/20/2007
Last updated
02/24/2017
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