Individual
MARIA DE JESUS ORNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 CAMFIELD AVE, COMMERCE, CA 90040-1502
(323) 558-7677
Mailing address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 728-0411
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
267305
CA
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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