Individual
MISS ANALISA AMBAT CAYABYAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68280 MARINA ROAD, CATHEDRAL CITY, CA 92234
(760) 218-8906
Mailing address
68280 MARINA ROAD, CATHEDRAL CITY, CA 92234
(760) 218-8906
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
6016221740
CA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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