Individual
ANGELICA GRETHEL RETANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13217 AURORA DR, 49, EL CAJON, CA 92021-1800
(619) 654-6277
Mailing address
13217 AURORA DR, 49, EL CAJON, CA 92021-1800
(619) 654-6277
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN266966
CA
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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