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VIDA ESTEBAN DACANAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4290 LAYLA WAY, SAN DIEGO, CA 92154-3835
(619) 662-1979
Mailing address
303 SURREY DR, BONITA, CA 91902-2324
(619) 964-7665

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
374601097
CA

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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