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MRS. MICHELLE VON SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
31720 TEMECULA PARKWAY, TEMECULA VALLEY CLINIC, TEMECULA, CA 92592
(951) 303-0734
(951) 303-8591
Mailing address
200 WEST ARBOR DRIVE, MC 8201 UCSD PROVIDER ENROLLMENT, SAN DIEGO, CA 92103-8201
(619) 543-1891

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95001845
CA
363LA2200X
Adult Health Nurse Practitioner
RN072105-AP05406
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1039403
LA
05
1851561054
CA
01
CA165763
MEDICARE PTAN
CA
Enumeration date
03/04/2008
Last updated
08/18/2016
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