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Organization
VITALE
Active
Organization
VITALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE MARIE WOZNIAK R.N. (PRESIDENT)
(310) 795-5854
Entity
Organization
Contact information
Practice address
1118 11TH ST, STE. 6, SANTA MONICA, CA 90403-5318
(310) 795-5854
(323) 766-1103
Mailing address
1118 11TH ST, STE. 6, SANTA MONICA, CA 90403-5318
(310) 795-5854
(323) 766-1103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN680091
CA
385H00000X
Respite Care
RN680091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002449639-0001-1
BUSINESS LICENSE
CA
Enumeration date
12/30/2009
Last updated
12/30/2009
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