Individual
ARIES JAY LACDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
734 10TH AVE, SAN DIEGO, CA 92101
(619) 239-4663
Mailing address
200 HARBOR DR, SAN DIEGO, CA 92101-7049
(858) 657-8000
(858) 657-8200
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
253346
CA
Other
Enumeration date
07/10/2013
Last updated
08/08/2018
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