Individual
CRISTA JUDE RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3230 WARING CT STE A, OCEANSIDE, CA 92056-4509
(760) 305-7528
(760) 509-4410
Mailing address
161 N DATE ST, ESCONDIDO, CA 92025-3405
(760) 745-7786
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LVN683245
CA
Other
Enumeration date
01/30/2020
Last updated
06/24/2020
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