Individual
ELISE ZAMUDIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1020 S ARROYO PKWY, PASADENA, CA 91105-3214
(626) 403-2794
Mailing address
1020 S. ARROYO PKWY., PASADENA, CA 91105-3214
(626) 403-2794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
VN 128576
CA
101YP1600X
Pastoral Counselor
—
CA
164X00000X
Licensed Vocational Nurse
Primary
VN128576
CA
Other
Enumeration date
07/23/2012
Last updated
05/03/2013
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