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Individual

CEZARIA KIMMAYONG WEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7922 PALM ST, LEMON GROVE, CA 91945-2956
(619) 644-1000
Mailing address
PO BOX 608, IMPERIAL, CA 92251-0608
(619) 253-6924

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN690667
CA

Other

Enumeration date
11/01/2018
Last updated
11/01/2018
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