Most Relevant Information
Provider Data
| NPI Number: | 1003422080 |
| Provider Name: | MICHELLE RENEE ZITTLAU-JOHNSON RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WG0000X |
| Specialty: | Registered Nurse |
| License Number: | 95228125 |
Most Important Dates
| Enumeration Date: | 09/16/2020 |
| Last Updated: | 09/21/2020 |
Provider Practice Location
1260 MORENA BLVD STE 100
SAN DIEGO
CA
921103850
Practice Location Phone/Fax
| Phone: | 6193980355 |
| Fax: | 6193980350 |
Provider Mailing Location
1260 MORENA BLVD STE 100
SAN DIEGO
CA
921103850
Provider Mailing Phone/Fax
| Phone: | 6193980355 |
| Fax: | 6193980350 |