Individual
MS. VICKI LYNN HILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
30210 RANCHO VIEJO RD STE A, SAN JUAN CAPISTRANO, CA 92675-1574
(949) 493-1383
(949) 493-1418
Mailing address
30210 RANCHO VIEJO RD STE A, SAN JUAN CAPISTRANO, CA 92675-1574
(949) 493-1383
(949) 493-1418
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
307213
CA
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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