Lifeshades of Nursing Professional Corporation
Lifeshades of Nursing Professional Corporation is a Clinic/Center in San Diego, California. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
2305 Historic Decatur Rd Ste 186San Diego, CA 92106-6071
Phone: (818) 641-4250
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Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X |
Record details
| NPI number | 1235831611 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rayna Cvetkova — Owner · (818) 641-4250 |
| NPI enumerated | March 20, 2023 |
| Last updated in NPPES | March 20, 2023 |
| Certification date | March 20, 2023 |
| Mailing address | 2305 Historic Decatur Rd Ste 186, San Diego, CA 92106-6071 |
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