Individual
FAZELA WASIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4692 MISSION BLVD, SAN DIEGO, CA 92109-2734
(619) 647-5072
(619) 330-4782
Mailing address
7946 LAKE ADLON DR, SAN DIEGO, CA 92119-3117
(619) 303-0497
(619) 330-4782
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
696952
CA
364SF0001X
Family Health Clinical Nurse Specialist
Primary
22375
CA
Other
Enumeration date
06/26/2013
Last updated
03/22/2016
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