Individual
MRS. FANNIE CAMPOY LASERNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6079
Mailing address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95275812
CA
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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