Individual
MRS. JANELLE PENNY DELA VINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
8010 FROST ST, SUITE 414, SAN DIEGO, CA 92123-2778
(858) 966-7711
(858) 966-7712
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 249-6749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP17592
CA
363LF0000X
Family Nurse Practitioner
NP17592
CA
363LP0200X
Pediatric Nurse Practitioner
NP17592
CA
Other
Enumeration date
04/22/2009
Last updated
06/23/2017
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