Individual
EMILY M BAGAYBAGAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
159 W 110TH ST, LOS ANGELES, CA 90061-2013
(714) 487-7499
Mailing address
742 N LA BREA AVE, INGLEWOOD, CA 90302-2204
(310) 672-4078
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
690425
CA
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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