Individual
JONI ANA BAES PAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
Mailing address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN743119
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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