Individual
DINA ISLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E CHAPMAN AVE STE 203, FULLERTON, CA 92831-3846
(714) 680-9000
(714) 680-8233
Mailing address
PO BOX 919, FULLERTON, CA 92836-0919
(714) 680-9000
(714) 680-8233
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
272185
CA
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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