Individual
HILLARY CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4651 36TH ST, SAN DIEGO, CA 92116-3642
(619) 318-4571
Mailing address
4651 36TH ST, SAN DIEGO, CA 92116-3642
(619) 318-4571
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
281952
CA
Other
Enumeration date
07/12/2020
Last updated
07/12/2020
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