Organization
ADVANCED PRACTICE NURSING CARE & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN LOYOLA NP (PRESIDENT)
(619) 949-8804
Entity
Organization
Contact information
Practice address
2060 OTAY LAKES RD STE 220, CHULA VISTA, CA 91913-1364
(619) 949-8804
Mailing address
2060 OTAY LAKES RD STE 220, CHULA VISTA, CA 91913-1364
(619) 949-8804
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
04/16/2024
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