Individual
MISS CHANTAL UBANDO GUMPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2101 E 1ST ST, SANTA ANA, CA 92705-4007
(714) 542-3581
(714) 542-2246
Mailing address
1501 W BURNETT ST, LONG BEACH, CA 90810-3320
(562) 818-7108
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN227574
CA
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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