Individual
BREIAUNTE DEBAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12021 WILMINGTON AVE STE 300, LOS ANGELES, CA 90059-3019
(424) 454-6042
Mailing address
13607 CORDARY AVE APT 123, HAWTHORNE, CA 90250-7437
(424) 768-2336
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
739186
CA
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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