Healthcare Provider Details

I. General information

NPI: 1356461172
Provider Name (Legal Business Name): LINDA MARIE FRANCE R.N., PHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 IMPERIAL AVE
SAN DIEGO CA
92101-7493
US

IV. Provider business mailing address

3711 PASEO OROZCO
LA MESA CA
91941-7341
US

V. Phone/Fax

Practice location:
  • Phone: 619-338-2173
  • Fax:
Mailing address:
  • Phone: 619-660-0959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number388913
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: