Individual
MISS CLARISSA GONZALEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
690 OXFORD ST, SUITE H, CHULA VISTA, CA 91911-7111
(619) 409-3110
Mailing address
690 OXFORD ST, SUITE H, CHULA VISTA, CA 91911-7111
(619) 409-3110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
777928
CA
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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