Provider Demographics
NPI:1427513605
Name:CESENA, RAQUEL ANGELICA (LVN)
Entity type:Individual
Prefix:
First Name:RAQUEL
Middle Name:ANGELICA
Last Name:CESENA
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 1:27201 KEPLER ST
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-8442
Mailing Address - Country:US
Mailing Address - Phone:760-593-8021
Mailing Address - Fax:
Practice Address - Street 1:27201 KEPLER ST
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-8442
Practice Address - Country:US
Practice Address - Phone:760-593-8021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA268577164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse