Individual
HANNA KHAZAELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 E VALLEY PKWY, ESCONDIDO, CA 92025-3008
(760) 740-4291
Mailing address
606 E VALLEY PKWY, ESCONDIDO, CA 92025
(760) 740-4291
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
548889
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12131003
KEISR
—
Enumeration date
01/14/2008
Last updated
01/14/2008
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