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Lifeshades Of Nursing Professional Corporation
Gerontology Nurse Practitioner in San Diego, California
NPI 1235831611

Lifeshades Of Nursing Professional Corporation is a Gerontology Nurse Practitioner based in San Diego, CA and is specialized in Gerontology. Lifeshades Of Nursing Professional Corporation practices in San Diego, CA. The NPI Number for Lifeshades Of Nursing Professional Corporation is 1235831611 and holds a License No. (California).

The current practice location address for Lifeshades Of Nursing Professional Corporation is 2305 Historic Decatur Rd Ste 186, San Diego, CA and can be reached out via phone at 818-641-4250.

Location: 2305 Historic Decatur Rd Ste 186, San Diego, CA, 92106-6071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235831611
Provider Name
Lifeshades Of Nursing Professional Corporation
Credential
Provider Entity Type
Organization
Address
2305 Historic Decatur Rd Ste 186, San Diego, CA, 92106-6071
Phone Number
818-641-4250
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2305 Historic Decatur Rd Ste 186
City
San Diego
State
California
Zip
92106-6071
Phone Number
818-641-4250
Fax Number
person
Provider Business Mailing Address Details
Address
2305 Historic Decatur Rd Ste 186
City
San Diego
State
California
Zip
92106-6071
Phone Number
818-641-4250
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
()
Definition
Definition to come...
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