Individual provider · Type 1 NPI

Vitaly Juravsky

Adult Psychiatric/Mental Health Registered Nurse · San Diego, CA

NPI number 1700158672 Active

Practice location

3853 Rosecrans Street San Diego, Ca
San Diego, CA 92110

Call (619) 692-8232 Map

Fax (619) 542-4060

Mailing address

6860 Hyde Park Dr Unit D
San Diego, CA 92119-2228

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809X672933 (CA)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1700158672

Vitaly Juravsky's National Provider Identifier is 1700158672, issued on Feb 7, 2012. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in San Diego, CA. The record was last updated on Feb 7, 2012.