Individual
MS. INGRID G CARBAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2269 EWING ST, LOS ANGELES, CA 90039-3105
(323) 397-1742
Mailing address
2269 EWING ST, LOS ANGELES, CA 90039-3105
(323) 397-1742
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
242522
CA
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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