Organization
LIFESHADES OF NURSING PROFESSIONAL CORPORATION
Active
Organization
LIFESHADES OF NURSING PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYNA CVETKOVA (OWNER)
(818) 641-4250
Entity
Organization
Contact information
Practice address
2305 HISTORIC DECATUR RD STE 186, SAN DIEGO, CA 92106-6071
(818) 641-4250
Mailing address
2305 HISTORIC DECATUR RD STE 186, SAN DIEGO, CA 92106-6071
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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