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Individual

VENICIA LAGUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4206 7TH AVE, LOS ANGELES, CA 90008-4729
(310) 903-0049
Mailing address
3894 CRENSHAW BLVD # 56165, LOS ANGELES, CA 90008-6049
(844) 524-6463

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
194700876
CA

Other

Enumeration date
01/20/2023
Last updated
01/20/2023
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