Individual
EDWARD D. NIAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.V.N.
Contact information
Practice address
3372 HOLLOWTREE DR, OCEANSIDE, CA 92054-1400
(760) 586-4741
(760) 439-6272
Mailing address
3372 HOLLOWTREE DR, OCEANSIDE, CA 92054-1400
(760) 586-4741
(760) 439-6272
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
222364
CA
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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