Individual
DAISY TECILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14129 BUCHER AVE, SYLMAR, CA 91342-1442
(818) 290-5308
Mailing address
14129 BUCHER AVE, SYLMAR, CA 91342-1442
(818) 290-5308
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
713511
CA
Other
Enumeration date
07/22/2024
Last updated
08/06/2024
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