Individual
LUISITA V ANICETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11721 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3674
(562) 949-8455
Mailing address
16623 MOUNT MICHAELIS CIR, FOUNTAIN VALLEY, CA 92708-2644
(714) 531-0564
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A45134
CA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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