Individual
DESIREE ROSEANNA ENCINAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8207 WHITTIER BLVD, PICO RIVERA, CA 90660-2521
(562) 695-0737
Mailing address
8207 WHITTIER BLVD, PICO RIVERA, CA 90660-2521
(562) 695-0737
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
721113
CA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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