MEDICARE: MS. CHRIS COLLEEN DOWNS

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
1	164X00000X	Licensed Vocational Nurse	VN246474	CA

General Provider Information

NPI Number	:	1083934335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRIS COLLEEN DOWNS

Provider Business Mailing Address
First Line	:	2202 BAUTISTA AVE
Second Line	:
City	:	VISTA
State	:	CA
Zip	:	92084-1639
Country	:	US
Telephone Number	:	760-805-8153
Fax Number	:

Provider Business Practice Location Address
First Line	:	2202 BAUTISTA AVE
Second Line	:
City	:	VISTA
State	:	CA
Zip	:	92084-1639
Country	:	US
Telephone Number	:	760-805-8153
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2010
Last Update Date	:	06/09/2010

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