Organization
MINUTE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE LYNN NUSCA (NURSE PRACTITIONER)
(352) 283-3717
Entity
Organization
Contact information
Practice address
683 LOMAS SANTA FE DR, SOLANA BEACH, CA 92075-1412
(858) 755-6697
Mailing address
7220 TEASDALE AVE, SAN DIEGO, CA 92122-2829
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
95005171
CA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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