Individual
ENEDINA ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11776 MARIPOSA RD # 103, HESPERIA, CA 92345-1622
(760) 956-2462
(760) 956-7542
Mailing address
11776 MARIPOSA RD # 103, HESPERIA, CA 92345-1622
(760) 956-2462
(760) 956-7542
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN274288
CA
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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