Individual
MRS. DALEANNE ELIZABETH HARDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
524 E J ST, CHULA VISTA, CA 91910-6415
(619) 756-8409
Mailing address
524 E J ST, CHULA VISTA, CA 91910-6415
(619) 756-8409
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 292957
CA
246RP1900X
Phlebotomy Technician
E9L2B7K4
CA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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