Healthcare Provider Details

I. General information

NPI: 1306764865
Provider Name (Legal Business Name): CHRISTINE VETERE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8240 HIGH ST
LA MESA CA
91941-7895
US

IV. Provider business mailing address

8240 HIGH ST
LA MESA CA
91941-7895
US

V. Phone/Fax

Practice location:
  • Phone: 619-333-9804
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number638488
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: