Individual
DALIA CENICEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 3RD AVE STE C, CHULA VISTA, CA 91911-1352
(619) 427-4661
Mailing address
835 3RD AVE STE C, CHULA VISTA, CA 91911-1352
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
696135
CA
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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