Individual
MIRKA AZUCENA VANEGAS MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12130 PARAMOUNT BLVD, DOWNEY, CA 90242-2339
(562) 923-9414
Mailing address
2830 W 8TH ST APT 102, LOS ANGELES, CA 90005-1246
(213) 842-6685
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95179882
CA
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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