Individual
FUNMILAYO FALESE OLUKANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35456 SNEAD ST, BEAUMONT, CA 92223-6215
(818) 434-9863
Mailing address
35456 SNEAD ST, BEAUMONT, CA 92223-6215
(818) 434-9863
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
270862
CA
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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