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Individual
WILLY PETER SALVOSA-CHUA
Active
Individual
WILLY PETER SALVOSA-CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
704986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
704986
LVN LICENSE
CA
Enumeration date
03/29/2022
Last updated
03/29/2022
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