Individual
JATNA PILZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
(831) 600-2801
Mailing address
2108 N APPLE AVE, RIALTO, CA 92377-4611
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
699449
CA
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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