Individual
JOHANA ERISELDA MILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25402 PACIFICA AVE, MISSION VIEJO, CA 92691-3854
(949) 238-2400
Mailing address
25402 PACIFICA AVE, MISSION VIEJO, CA 92691-3854
(949) 238-2400
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
724597
CA
Other
Enumeration date
02/17/2020
Last updated
12/28/2023
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