Individual
BLANCA ESTELA CAZARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1295 W STATE ST, EL CENTRO, CA 92243-2845
(760) 482-4000
Mailing address
243 SAMANTHA CT, IMPERIAL, CA 92251-8811
(760) 312-5970
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN223564
CA
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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