Individual
MS. GENET GETACHEW TEKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLVN
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6267
Mailing address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6267
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
703306
CA
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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