Individual
VESNA ILICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3008 BUENA CREEK RD, VISTA, CA 92084-7412
(760) 685-2299
Mailing address
3008 BUENA CREEK RD, VISTA, CA 92084-7412
(760) 685-2299
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
374602645
CA
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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