Individual
MRS. JOSEFINA DABU DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19213 NESTOR AVE, CARSON, CA 90746-2605
(424) 338-6096
Mailing address
19213 NESTOR AVE, CARSON, CA 90746-2605
(424) 338-6096
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN163071
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550004419
—
CA
05
—
55G080
—
CA
Enumeration date
03/22/2007
Last updated
04/16/2020
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