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Individual

MISS MARISSA ELIZABETH KIENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
2515 RAMFOS PL, SAN DIEGO, CA 92139-2822
(619) 863-3540
Mailing address
2515 RAMFOS PL, SAN DIEGO, CA 92139-2822
(619) 863-3540

Taxonomy

Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
718949
CA

Other

Enumeration date
01/19/2021
Last updated
01/19/2021
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