Organization
GREEN WAVES PSYCHIATRY NURSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DALKYE HAN NP (PRESIDENT)
(858) 727-9056
Entity
Organization
Contact information
Practice address
7220 TRADE ST STE 215, SAN DIEGO, CA 92121-2326
(858) 727-9056
Mailing address
10531 4S COMMONS DR STE 166-445, SAN DIEGO, CA 92127-3517
(858) 727-9056
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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