Individual
MRS. GINA FELICES HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
490 N GRAPE ST, ESCONDIDO, CA 92025-3079
(951) 466-3032
Mailing address
490 N GRAPE ST, ESCONDIDO, CA 92025-3079
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
164X00000X
Licensed Vocational Nurse
Primary
LVN282191
CA
Other
Enumeration date
04/22/2021
Last updated
12/09/2021
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