Individual
CLIFTON ROBERT RESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
836 W PENNSYLVANIA AVE, #105, SAN DIEGO, CA 92103-3849
(619) 507-6127
Mailing address
836 W PENNSYLVANIA AVE, #105, SAN DIEGO, CA 92103-3849
(619) 507-6127
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
245546
CA
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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