Individual
JACK BYRON CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
427 C ST STE 212, SAN DIEGO, CA 92101-5121
(619) 238-4180
(619) 238-4245
Mailing address
427 C ST STE 212, SAN DIEGO, CA 92101-5121
(619) 615-0439
(619) 615-3197
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
92322
CA
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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