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NPI Code Detail

MEDICARE: TINA JULIAN LVN

MEDICARE: TINA JULIAN 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 216640CA

General Provider Information

NPI Number : 1437353257
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA JULIAN LVN
Provider Business Mailing Address
First Line : 4974 EL CAJON BLVD
Second Line : SUITE A
City : SAN DIEGO
State : CA
Zip : 92115-4677
Country : US
Telephone Number : 619-286-4600
Fax Number :
Provider Business Practice Location Address
First Line : 4974 EL CAJON BLVD
Second Line : SUITE A
City : SAN DIEGO
State : CA
Zip : 92115-4677
Country : US
Telephone Number : 619-286-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 07/08/2007

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Directions to “ TINA JULIAN LVN” Practice Location

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