Individual
MRS. ANNA MARGARITA SANTOS FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
2292 PEACH TREE LN, SPRING VALLEY, CA 91977-7046
(619) 254-7244
Mailing address
7696 FLANDERS DR, SAN DIEGO, CA 92126-3063
(619) 254-7244
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
211484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RVN004090
MEDI-CAL PROVIDER
CA
Enumeration date
10/25/2006
Last updated
07/08/2007
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