Individual
LIN MAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12164 GRIDLEY RD, NORWALK, CA 90650-7850
(562) 713-2093
Mailing address
12164 GRIDLEY RD, NORWALK, CA 90650-7850
(562) 713-2093
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95004247
CA
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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