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Individual

MARY E CARAVELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4715 VIEWRIDGE AVE, SUITE 230, SAN DIEGO, CA 92123-1680
(800) 257-8715
(858) 874-8212
Mailing address
4715 VIEWRIDGE AVE, SUITE 230, SAN DIEGO, CA 92123-1680
(800) 257-8715
(858) 874-8212

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00182000
NJ

Other

Enumeration date
05/21/2008
Last updated
06/03/2010
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