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NPI Code Detail

MEDICARE: ANA MARIA ORDUNEZ ALFARO LVN

MEDICARE: ANA MARIA ORDUNEZ ALFARO LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational NurseVN 175558CA

General Provider Information

NPI Number : 1093927816
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA MARIA ORDUNEZ ALFARO LVN
Provider Business Mailing Address
First Line : 245 QUINTARD ST APT A66
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-4339
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7545 METROPOLITAN DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4402
Country : US
Telephone Number : 619-718-9890
Fax Number : 619-718-9897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 11/18/2019

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Directions to “ ANA MARIA ORDUNEZ ALFARO LVN” Practice Location

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