Individual
DIANA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4215 HUERFANO AVE, SAN DIEGO, CA 92117-4309
(185) 827-2427
Mailing address
4215 HUERFANO AVE, SAN DIEGO, CA 92117-4309
(185) 827-2427
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
209835
CA
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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