Individual
JUAN SUN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1161 3RD AVE, CHULA VISTA, CA 91911-3136
(619) 498-8260
(619) 498-8265
Mailing address
2251 SMYTHE AVE, SAN YSIDRO, CA 92173-2436
(619) 210-3367
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
283576
CA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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