Individual
VITALY JURAVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3853 ROSECRANS STREET SAN DIEGO, CA, SAN DIEGO, CA 92110
(619) 692-8232
(619) 542-4060
Mailing address
6860 HYDE PARK DR UNIT D, SAN DIEGO, CA 92119-2228
(619) 644-2363
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
672933
CA
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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