Individual
VANESSA MADRIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22509 GRACE AVE, CARSON, CA 90745-3912
(310) 341-5713
Mailing address
22509 GRACE AVE, CARSON, CA 90745-3912
(310) 341-5713
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
01209780
CA
Other
Enumeration date
03/06/2022
Last updated
03/06/2022
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