Individual provider · NPI-1

Richard Rolland Esquivel Alfonso II, RN

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

NPI number1013761691

StatusActive

Last updated in NPPESApr 11, 2024

Details

NPI: 1013761691
Entity type: Individual (NPI-1)
Name: Mr. Richard Rolland Esquivel Alfonso II
Credential: RN
Sex: Male
Sole proprietor: Yes
Enumeration date: Apr 11, 2024
Certification date: Apr 11, 2024
Last updated: Apr 11, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	95369722	CA	Yes

Practice location

3853 Rosecrans St
San Diego, CA 92110-3115

Phone 619-692-8232 · Fax 619-542-4060

Mailing address

3853 Rosecrans St
San Diego, CA 92110-3115

Phone 619-692-8232 · Fax 619-542-4060

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