Individual
GWANESHIA S COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
717 LINCOLN BLVD, VENICE, CA 90291-2845
(310) 399-9883
(310) 399-9678
Mailing address
717 LINCOLN BLVD, VENICE, CA 90291-2845
(310) 399-9883
(310) 399-9678
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
230338
CA
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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