Individual
JENNIFER DIANO ZELAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14332 VICTORY BLVD, VAN NUYS, CA 91401-1944
(818) 989-1996
Mailing address
14332 VICTORY BLVD, VAN NUYS, CA 91401-1944
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
703869
CA
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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