Individual
EDILOIDA ELEAZAR MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
22676 GENOVA, LAGUNA HILLS, CA 92653-1907
(949) 244-9331
Mailing address
22676 GENOVA, LAGUNA HILLS, CA 92653-1907
(949) 244-9331
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 187847
CA
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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