Individual
ANGELLA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
844 PICO BLVD, SANTA MONICA, CA 90405-1325
(310) 314-6200
Mailing address
2644 30TH ST STE 100, SANTA MONICA, CA 90405-3051
(310) 314-6200
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
287527
CA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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