Individual
MRS. CAROL DE GALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
923 W 53RD ST, LOS ANGELES, CA 90037-3613
(323) 742-3083
Mailing address
923 W 53RD ST, LOS ANGELES, CA 90037-3613
(323) 742-3083
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN151049
CA
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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