Individual
NIKALA PROWZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 STEELE CANYON RD, EL CAJON, CA 92019-4619
(619) 447-2432
Mailing address
2815 STEELE CANYON RD, EL CAJON, CA 92019-4619
(619) 447-2432
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
807344
CA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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