GRACIELLE MAE EJANDA ADVINCULA NP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1376208975- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 1306 BROADWAY, EL CAJON, CA, 920215810
- Phone
- (619) 551-7400
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: CA #95018873