Individual
MRS. PETRIE ODETTA RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14152 FOOTHILL BLVD., #3, SYLMAR, CA 91342
(818) 367-9235
Mailing address
14152 FOOTHILL BLVD, #3, SYLMAR, CA 91342-8000
(818) 367-9235
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN167990
CA
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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