Individual
AMERICA JAEL LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1295 W STATE ST STE 203, EL CENTRO, CA 92243-2886
(442) 265-1525
Mailing address
202 N 8TH ST, EL CENTRO, CA 92243-2302
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
279826
CA
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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