Individual
GUADALUPE LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 EAGLE GLN, ESCONDIDO, CA 92029-3135
(760) 975-3969
Mailing address
2100 E GRAND AVE APT 55, ESCONDIDO, CA 92027-3400
(760) 801-9077
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D08612701
DRIVER LICENSE
AZ
Enumeration date
04/21/2020
Last updated
04/21/2020
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