Individual
MRS. DEANNA BARRON-GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5055 RUFFIN RD, SAN DIEGO, CA 92123-1617
(858) 573-7311
Mailing address
5055 RUFFIN RD, SAN DIEGO, CA 92123-1617
(858) 573-7311
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
683869
CA
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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