MARY ICON LINA-MORENO IGNACIO

SAN DIEGO, CA
NPI1023592284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  261812)
Enumeration Date2018-09-23
Last Update Date2018-09-23
Business Address
Mrs. MARY ICON LINA-MORENO IGNACIO LVN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
Mailing Address
Mrs. MARY ICON LINA-MORENO IGNACIO LVN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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