Individual
ISAIAH RENE NUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5807 N FIGUEROA ST, LOS ANGELES, CA 90042-4227
(323) 509-4560
Mailing address
681 LINCOLN AVE, PASADENA, CA 91103-2936
(626) 923-8803
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
86327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86327
—
CA
Enumeration date
09/15/2017
Last updated
09/15/2017
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