Individual
NICHOLAS VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
245 S FETTERLY AVE, LOS ANGELES, CA 90022-1605
(323) 362-1045
Mailing address
245 S FETTERLY AVE, LOS ANGELES, CA 90022-1605
(323) 362-1045
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
758211
CA
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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