Individual
MS. GLORIA MANCIOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
14530 HAMLIN ST, VAN NUYS, CA 91411-1607
(818) 373-4993
Mailing address
PO BOX 920513, SYLMAR, CA 91392-0513
(818) 367-7702
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN110356
CA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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