Individual
MRS. LOALEA ELLEN UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN,PHN
Contact information
Practice address
1800 MOUNT VERNON AVE FL 2, BAKERSFIELD, CA 93306-3302
(661) 868-0318
Mailing address
4400 OREGANO RD, BAKERSFIELD, CA 93313-3976
(661) 836-3148
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
516102
CA
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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