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Individual

SHELLA MICHELLE DE LEON CARIZON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-4927
(858) 552-8585
Mailing address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119854
CA

Other

Enumeration date
11/27/2017
Last updated
11/30/2022
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