Individual
DENISE DAYNE FUNIESTAS DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 E ORANGE AVE APT L4, CHULA VISTA, CA 91911-5432
(619) 395-6302
Mailing address
245 E ORANGE AVE APT L4, CHULA VISTA, CA 91911-5432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95223549
CA
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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