Individual
DIANA UBALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
(310) 632-0415
Mailing address
841 W 2ND ST, SAN PEDRO, CA 90731-2403
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
267192
CA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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