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Individual

DIANA VIDALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
221 WESTWOOD PLAZA, LOS ANGELES, CA 90095-0001
(310) 825-4073
Mailing address
221 WESTWOOD PLAZA, LOS ANGELES, CA 90095-0001
(310) 825-4073

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95100965
CA

Other

Enumeration date
01/02/2019
Last updated
07/30/2020
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