Individual
ANNA SHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1268 E OHIO AVE APT 17, ESCONDIDO, CA 92027-3072
(773) 494-9569
Mailing address
1268 E OHIO AVE APT 17, ESCONDIDO, CA 92027-3072
(773) 494-9569
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
283400
CA
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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