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Individual

MR. JUAN PABLO BOTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN RN CDES

Contact information

Practice address
1400 E PALOMAR ST, CHULA VISTA, CA 91913-1800
(858) 499-2700
Mailing address
1400 E PALOMAR ST, CHULA VISTA, CA 91913-1800
(858) 499-2700

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
756855
CA
163WD0400X
Diabetes Educator Registered Nurse
Primary
22200760
CA

Other

Enumeration date
02/08/2022
Last updated
02/08/2022
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