Individual
MIA ELLEN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.F.A.
Contact information
Practice address
16835 ALGONQUIN ST STE 396, HUNTINGTON BEACH, CA 92649-3810
(562) 833-1698
(562) 683-2798
Mailing address
16835 ALGONQUIN ST STE 396, HUNTINGTON BEACH, CA 92649-3810
(562) 833-1698
(562) 683-2798
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN603089
CA
Other
Enumeration date
09/25/2009
Last updated
03/31/2023
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