Individual
EILEEN ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
31764 CASINO DR STE 300, LAKE ELSINORE, CA 92530-2312
(951) 471-4645
(951) 471-4687
Mailing address
31764 CASINO DR STE 300, LAKE ELSINORE, CA 92530-2312
(951) 471-4645
(951) 471-4687
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
286631
CA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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