Individual
EILEEN BELCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1537 H ST, RAMONA, CA 92065-2642
(760) 803-3119
Mailing address
1537 H ST SPC 21, RAMONA, CA 92065-2606
(760) 803-3119
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
172566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
981148127F04227
—
CA
01
—
98148127F04227
PERSONAL
—
Enumeration date
05/18/2019
Last updated
05/18/2019
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