Individual
TRACY NESIRI NDIYOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2018 VAN KARAJAN DR, RANCHO PALOS VERDES, CA 90275
(424) 254-6604
Mailing address
2018 VAN KARAJAN DR, RANCHO PALOS VERDES, CA 90275
(424) 254-6604
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
716801
CA
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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