Individual
EVELYN LEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1701 CAMINO PALMERO ST, LOS ANGELES, CA 90046-2902
(323) 876-0550
(323) 876-0439
Mailing address
6734 ARLINGTON AVE, LOS ANGELES, CA 90043-4424
(323) 876-0550
(323) 876-0439
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
274972
CA
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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