Individual
VANESSA MARIA KALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27800 MEDICAL CENTER RD, SUITE 222, MISSION VIEJO, CA 92691-6410
(949) 276-2446
Mailing address
333 CORPORATE DR, STE 102, LADERA RANCH, CA 92694-2113
(949) 276-2446
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
14401
CA
364S00000X
Clinical Nurse Specialist
1901
CA
Other
Enumeration date
01/12/2006
Last updated
08/17/2018
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