Individual
ELLIE P. CANSICIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
1000 BAY MARINA DR, NATIONAL CITY, CA 91950-6302
(619) 336-5756
Mailing address
690 FALSE POINT CT, CHULA VISTA, CA 91911-6112
(619) 421-0568
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
188054
CA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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