Individual
TERESA VIDMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2810 CRESTA LOMA, ESCONDIDO, CA 92025-7778
(530) 219-7248
Mailing address
5065 MOUNT LA PLATTA DR, SAN DIEGO, CA 92117-3007
(530) 219-7248
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
80800
CA
163WS0200X
School Registered Nurse
Primary
391318
CA
Other
Enumeration date
05/14/2020
Last updated
09/01/2024
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