Phyllis Lynette Pryor, LVN
Licensed Vocational Nurse in San Diego, CA. Individual provider (NPI-1).
NPI number1437651981
StatusActive
Last updated in NPPESMar 1, 2018
Details
- NPI
- 1437651981
- Entity type
- Individual (NPI-1)
- Name
- Phyllis Lynette Pryor
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2018
- Last updated
- Mar 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 271317 | CA | Yes |
Practice location
4974 El Cajon Blvd Suite ASan Diego, CA 92115
Phone 619-286-4600 · Fax 619-286-0060
Mailing address
430 Oaklawn Ave Unit EChula Vista, CA 91910
Phone 619-581-4084 · Fax 619-286-0060
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