Individual
DIANE DELA CRUZ JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1955 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4113
(760) 294-1281
(760) 888-2175
Mailing address
1955 CITRACADO PKWY STE 300, ESCONDIDO, CA 92029-4113
(760) 294-1281
(760) 888-2175
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN682492
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
953302967
—
CA
Enumeration date
10/11/2017
Last updated
12/01/2023
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