Individual
AMBER LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3126 GLENROSE AVE, ALTADENA, CA 91001-4328
(626) 577-1215
Mailing address
713 E ALTADENA DR, #114, ALTADENA, CA 91001-2363
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
223727
CA
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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