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Individual

DIANA LUEVANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2511 JENSEN AVE, SANGER, CA 93657-2251
(559) 875-3023
Mailing address
2511 JENSEN AVE, SANGER, CA 93657-2251
(559) 875-3023

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
711604
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173
CA
Enumeration date
12/14/2021
Last updated
12/14/2021
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