Individual
MRS. JAN TAYLOR MCVICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
17875 SUN WALK CT, SAN DIEGO, CA 92127-1370
(858) 451-8772
Mailing address
17875 SUN WALK CT, SAN DIEGO, CA 92127-1370
(858) 451-8772
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
321973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EPS017120
—
CA
05
—
RVN005230
—
CA
Enumeration date
06/21/2007
Last updated
03/25/2008
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