Individual
DELIENID HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
161 N DATE ST, ESCONDIDO, CA 92025-3405
(760) 443-9727
Mailing address
161 N DATE ST, ESCONDIDO, CA 92025-3405
(760) 443-9727
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
263477
CA
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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