Individual
GUADALUPE PRECIADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3591 E IMPERIAL HWY, LYNWOOD, CA 90262-2654
(310) 638-9025
(310) 638-9080
Mailing address
1910 W SUNSET BLVD, 650, LOS ANGELES, CA 90026-3275
(213) 484-1186
(213) 484-6165
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN161104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VN161104
LVN
CA
Enumeration date
07/24/2012
Last updated
07/24/2012
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