Individual
MRS. VILMA CONG DIVINAGRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
VASDHS- ECC, 3350 LA JOLLA VILLAGE DRIVE, SAN DIEGO, CA 92161-0001
(858) 552-8585
(858) 642-6255
Mailing address
VASDHS- ECC, 3350 LA JOLLA VILLAGE DRIVE, SAN DIEGO, CA 92161-0001
(858) 552-8585
(858) 642-6255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
343276
CA
163WG0600X
Gerontology Registered Nurse
—
CA
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
1509
CA
Other
Enumeration date
07/20/2006
Last updated
07/12/2007
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