Individual
MRS. MARY JEAN VANKRUGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
8041 NEWMAN AVE, HUNTINGTON BEACH, CA 92647-7034
(714) 847-4222
(714) 842-9843
Mailing address
19642 WATERBURY LN, HUNTINGTON BEACH, CA 92646-3547
(714) 968-4662
(714) 964-2097
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
307374
CA
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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