Individual
INGRID LISSETT COYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 HURLBUT ST, PASADENA, CA 91105-4025
(626) 441-4221
Mailing address
84 N GRAND OAKS AVE, PASADENA, CA 91107-3612
(626) 449-1695
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN235955
CA
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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