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Organization
LP.A. & T. CORPORATION
Active
Organization
LP.A. & T. CORPORATION
Active
Other names
Roseland I,II,III,IV,V Sonia's Arf
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIBERTY CRUZ NELSON RN-BSN/DON/ADMINISTR (PRESIDENT-OWNER)
(619) 216-6357
Entity
Organization
Contact information
Practice address
1262 DIXON WAY, CHULA VISTA, CA 91911
(619) 426-6357
(619) 422-1805
Mailing address
1262 DIXON WAY, CHULA VISTA, CA 91911
(619) 426-6357
(619) 422-1805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN301810
CA
164X00000X
Licensed Vocational Nurse
VN168658
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SIERRA214039551
HEALTH CARE PROVIDER
—
Enumeration date
09/01/2011
Last updated
09/01/2011
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