Individual
JEANETTE CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7922 PALM ST, LEMON GROVE, CA 91945-2956
(619) 464-3488
(619) 464-3416
Mailing address
7721 DANIELLE DR, LEMON GROVE, CA 91945-4440
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
204888
CA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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