Individual
MISS ELIZABETH ANN MINICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMW
Contact information
Practice address
200 WEST ARBOR DRIVE, SAN DIEGO, CA 92103
(619) 543-2533
(619) 543-2366
Mailing address
200 WEST ARBOR DRIVE, SAN DIEGO, CA 92103
(619) 543-2533
(619) 543-2366
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN 698108
CA
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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