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Organization

ENVISION PERSONALIZED HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VANESSA L BILLEN (MANAGER)
(619) 229-9695
Entity
Organization

Contact information

Practice address
4620 ALVARADO CANYON RD, SUITE 14, SAN DIEGO, CA 92120-4320
(619) 229-9695
(619) 229-9666
Mailing address
4620 ALVARADO CANYON RD, SUITE 14, SAN DIEGO, CA 92120-4320
(619) 229-9695
(619) 229-9666

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
2255A2300X
Athletic Trainer
225700000X
Massage Therapist
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
01/19/2013
Last updated
01/19/2013
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