Individual
MRS. DORA LETICIA VILLAGRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2001 E GLENWOOD AVE, FULLERTON, CA 92831-3003
(714) 809-7229
Mailing address
2001 E GLENWOOD AVE, FULLERTON, CA 92831-3003
(714) 809-7229
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
161135
CA
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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