Provider Demographics
NPI:1225266117
Name:FLORES, MARIA TERESA (LVN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:TERESA
Last Name:FLORES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 FRENCH ST
Mailing Address - Street 2:SUITE #101
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-2475
Mailing Address - Country:US
Mailing Address - Phone:714-824-8140
Mailing Address - Fax:714-824-8141
Practice Address - Street 1:1615 FRENCH ST
Practice Address - Street 2:SUITE #101
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-2475
Practice Address - Country:US
Practice Address - Phone:714-824-8140
Practice Address - Fax:714-824-8141
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA213288164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse