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Individual

ARIANNE MEDEA CABRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8609 ROSE ST, BELLFLOWER, CA 90706-6374
(323) 363-5234
Mailing address
8609 ROSE ST, BELLFLOWER, CA 90706-6374
(323) 363-5234

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
690733
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021641
CA
Enumeration date
08/12/2020
Last updated
08/12/2020
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