Individual
MS. TINA W MIRABELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
338 VIA DEL ASTRO, OCEANSIDE, CA 92057-7339
(760) 583-8829
Mailing address
338 VIA DEL ASTRO, OCEANSIDE, CA 92057-7339
(760) 583-8829
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN108024
CA
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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