Individual
MR. BEAU DUNSTAN REYES DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2803 GRAMERCY AVE, TORRANCE, CA 90501-5431
(424) 552-5314
Mailing address
2803 GRAMERCY AVE, TORRANCE, CA 90501-5431
(424) 552-5314
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
728542
CA
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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