Individual
JERALDINE ALEXIS ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4974 EL CAJON BLVD STE A, SAN DIEGO, CA 92115-4677
(619) 286-4600
Mailing address
4974 EL CAJON BLVD STE A, SAN DIEGO, CA 92115-4677
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
699186
CA
Other
Enumeration date
05/27/2019
Last updated
05/27/2019
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