CARLY ANN DIVINO

SANTA ANA, CA
NPI1275122020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  693502)
Enumeration Date2021-01-15
Last Update Date2021-01-15
Business Address
CARLY ANN DIVINO
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
Mailing Address
CARLY ANN DIVINO
24436 MUELA
MISSION VIEJO, CA 92692-2218
Phone number:
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