Individual
WASSANA K VOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 CAPTIVA CIR, CORONA, CA 92882-8509
(510) 506-2621
(510) 506-2621
Mailing address
807 CAPTIVA CIR, CORONA, CA 92882-8509
(510) 506-2621
(510) 506-2621
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95039204
CA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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