Individual
IA MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2309 S DIAMOND ST, SANTA ANA, CA 92704-5025
(714) 616-8282
Mailing address
2309 S DIAMOND ST, SANTA ANA, CA 92704-5025
(714) 616-8282
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
283557
CA
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
About Stedi
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