Individual
JASMINA DE JESUS VALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1322 N AVALON BLVD, WILMINGTON, CA 90744-2639
(310) 513-1300
(310) 513-1311
Mailing address
1322 N AVALON BLVD, WILMINGTON, CA 90744-2639
(310) 738-1792
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
249450
CA
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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