Individual
IDA GUADALUPE DURON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
17982 SKY PARK CIR STE J, IRVINE, CA 92614-6482
(949) 809-5700
(949) 809-5779
Mailing address
17982 SKY PARK CIR STE J, IRVINE, CA 92614-6482
(949) 809-5700
(949) 809-5779
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
199570
CA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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