Individual
BEAUTY ASEMOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
13931 CHADRON AVE APT 15, HAWTHORNE, CA 90250-8201
(323) 312-4657
Mailing address
13931 CHADRON AVE APT 1513931, HAWTHORNE, CA 90250-8231
(323) 312-4657
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
685658
CA
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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