Individual
MS. IVY LADYSE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1310 E VALLEY PKWY # 212, ESCONDIDO, CA 92027-2341
(858) 705-8268
Mailing address
1310 E VALLEY PKWY # 212, ESCONDIDO, CA 92027-2341
(858) 705-8268
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
201983
CA
Other
Enumeration date
03/25/2012
Last updated
03/25/2012
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