Individual
IVRINA MARIE KEYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN-215505
Contact information
Practice address
1007 MYRTLE AVE, INGLEWOOD, CA 90301-4009
(310) 412-4191
(310) 412-3942
Mailing address
1007 MYRTLE AVENUE, INGLEWOOD,, CA 90301
(310) 412-4191
(310) 412-3942
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN215505
CA
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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