Individual
LILIA MENDIVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC, RN
Contact information
Practice address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 520-8372
Mailing address
9894 GENESEE AVENUE, LA JOLLA, CA 92037
(858) 231-8574
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN444766
CA
Other
Enumeration date
10/30/2008
Last updated
10/28/2009
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