Individual
ELVIA MEXICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6601 RUGBY AVE STE 300, HUNTINGTON PARK, CA 90255-4046
(323) 582-1177
Mailing address
1834 BOCA AVE, LOS ANGELES, CA 90032-3749
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95021277
CA
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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