Individual
MRS. GRACE OKONKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6315 KESTER AVE APT 16, VAN NUYS, CA 91411-2007
(310) 598-8647
Mailing address
6315 KESTER AVE APT 16, VAN NUYS, CA 91411-2007
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN290062
CA
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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