Individual
LANEATRA DE HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 BROAD AVE, WILMINGTON, CA 90744-2604
(310) 404-2141
Mailing address
1325 BROAD AVE, WILMINGTON, CA 90744-2604
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
95302297
CA
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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