Individual
LAURETTE ELBERTA MINAGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
RADY CHILDREN'S HOSPITAL AND HEALTH CENTER, 3020 CHILDREN'S WAY, MC 5030, SAN DIEGO, CA 92123
(858) 966-4003
(858) 560-6798
Mailing address
1224 W LEWIS ST, SAN DIEGO, CA 92103-1725
(619) 262-9662
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN494701
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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