Organization
TELECARE CWIC MB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY MARIE HAISTON LVN (LVN)
(760) 409-8571
Entity
Organization
Contact information
Practice address
55475 SANTA FE TRL, SUITE 100, YUCCA VALLEY, CA 92284-3117
(855) 365-6558
Mailing address
PO BOX 291, TWENTYNINE PALMS, CA 92277-0291
(760) 409-8571
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
VN135730
CA
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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