Individual
ISABEL CIDDEBENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E CHAPMAN AVE, #203, FULLERTON, CA 92831-3839
(714) 680-8268
(714) 680-8233
Mailing address
PO BOX 919, CRITTENTONSERVICES, FULLERTON, CA 92836-0919
(714) 680-8268
(714) 680-8233
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN269171
CA
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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