Individual
LEA AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
724 E VERNON ST, LONG BEACH, CA 90806-2727
(562) 881-8184
Mailing address
724 E VERNON ST, LONG BEACH, CA 90806-2727
(562) 881-8184
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
329217
CA
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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