Individual
GAIL JUNE TEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
3686 PACIFIC AVE, RIVERSIDE, CA 92509-1948
(951) 663-4842
Mailing address
3686 PACIFIC AVE, RIVERSIDE, CA 92509-1948
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN96896
CA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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