Individual
MS. MICHELLE MARIE VANAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA, CNOR
Contact information
Practice address
161 THUNDER DR STE 210, VISTA, CA 92083-6052
(760) 724-0400
Mailing address
2970 LANCASTER RD, CARLSBAD, CA 92010-6570
(760) 585-6759
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
538538
CA
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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