Individual
GARY PALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2829 S GRAND AVE, LOS ANGELES, CA 90007-3304
(323) 699-7080
Mailing address
2829 S GRAND AVE, LOS ANGELES, CA 90007-3304
(323) 699-7080
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
702846
CA
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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