Individual
EDDAH KASIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1150 TORI DR., HEME T, CA 92545-1230
(951) 445-3914
Mailing address
1151 TORI DR., 1230, CA 92545
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
166988
CA
Other
Enumeration date
10/12/2006
Last updated
02/24/2018
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