MIKALA FANUCCHI RN
Individual Provider (NPI-1)
Active
Registered Nurse, Oncology
Provider Information
- NPI Number
1558240861- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN
- Status
- Active
Contact & Location
- Address
- 3075 HEALTH CENTER DR STE 102, SAN DIEGO, CA, 921232773
- Phone
- (858) 637-7888
Specialties & Taxonomies
Registered Nurse, Oncology
Primary License: CA #95400066