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Individual
KATHYA OLMOS
Active
Individual
KATHYA OLMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
706296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
706296
LVN LICENSE
CA
Enumeration date
09/24/2019
Last updated
09/24/2019
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