Individual
DIVINA GRACIA PANLASIGUI LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1839 S EL DORADO ST, STOCKTON, CA 95206-1305
(209) 466-4200
(209) 466-4446
Mailing address
3638 HENDRIX DR, STOCKTON, CA 95212
(209) 817-5674
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN183039
CA
Other
Enumeration date
12/21/2006
Last updated
06/26/2023
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