Individual
MISS JODI MARIE CULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1539 TAVERN RD APT 123, ALPINE, CA 91901-3841
(858) 603-2492
Mailing address
1539 TAVERN RD APT 123, ALPINE, CA 91901-3841
(858) 603-2492
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
258922
CA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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