Individual
ERIN CID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
48068 ARICA DR, COACHELLA, CA 92236-6801
(760) 625-6960
Mailing address
48068 ARICA DR, COACHELLA, CA 92236-6801
(760) 625-6960
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
709412
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1975
1975
—
Enumeration date
02/24/2020
Last updated
02/24/2020
About Stedi
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