Individual
DAVID GUERRERO NUNEZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1630 LORETTA ST, OCEANSIDE, CA 92058-2253
(760) 586-4311
Mailing address
1630 LORETTA ST, OCEANSIDE, CA 92058-2253
(760) 586-4311
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 165141
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RVN000510
PROVIDER NUMBER
CA
Enumeration date
10/18/2007
Last updated
10/18/2007
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