Individual
AGNES-JAN DULDULAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 MORENA BLVD, STE. 100, SAN DIEGO, CA 92110-3889
(619) 398-0350
Mailing address
1260 MORENA BLVD, STE. 100, SAN DIEGO, CA 92110-3889
(619) 398-0350
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
684996
CA
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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