Individual
MYRAFLOR CACHO LAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2181 CITRACADO PKWY, ESCONDIDO, CA 92029-4159
(442) 277-6100
Mailing address
223 MISSION VILLAS RD, SAN MARCOS, CA 92069-2082
(443) 605-6814
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95346393
CA
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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