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Individual

ISAAC MUKUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(858) 278-2847
Mailing address
730 MEDICAL CENTER DRIVE, CHULA VISTA, CA 91911
(858) 278-2847

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95173495
CA

Other

Enumeration date
03/10/2017
Last updated
09/12/2018
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