Individual
GERALD FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10443 ANDASOL AVE, GRANADA HILLS, CA 91344-6035
(707) 364-3742
Mailing address
10443 ANDASOL AVE, GRANADA HILLS, CA 91344-6035
(707) 364-3742
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00553258
CA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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