Individual
MRS. LIBERTY JO SCHULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
809 1ST ST, CORONADO, CA 92118-1301
(619) 564-4767
Mailing address
809 1ST ST, CORONADO, CA 92118-1301
(619) 564-4767
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
571135
CA
Other
Enumeration date
09/01/2010
Last updated
12/01/2021
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