Individual
ANNA THERESA NOLASCO TIBAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1310 WILSHIRE BLVD, LOS ANGELES, CA 90017-1705
(213) 483-3000
(213) 383-3146
Mailing address
1310 WILSHIRE BLVD, LOS ANGELES, CA 90017-1705
(213) 483-3000
(213) 383-3146
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN197601
CA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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