Individual
ERIKA REBOLLOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
16111 PRAIRIE AVE, APT 210, LAWNDALE, CA 90260-2743
(310) 873-8983
Mailing address
16111 PRAIRIE AVE, APT 210, LAWNDALE, CA 90260-2743
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
267489
CA
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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