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Individual
KAIWANA LASCUNA
Active
Individual
KAIWANA LASCUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
700965
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700965
LVN
CA
Enumeration date
12/21/2018
Last updated
12/21/2018
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