Individual
MS. CHAUNDRA RENAE PASSEHL CAPACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3010 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5818
Mailing address
3020 CHILDRENS WAY # MC5008, SAN DIEGO, CA 92123-4223
(858) 966-5818
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
NP21154
CA
Other
Enumeration date
01/12/2012
Last updated
03/23/2022
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