Individual
MISS ELIZA TINIO ORTIZLUIS
Active
Individual
MISS ELIZA TINIO ORTIZLUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN213834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A3651966
A3651966
CA
Enumeration date
05/08/2012
Last updated
05/08/2012
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