Individual
DIANNA ALEXANDRA GORDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 254-2274
Mailing address
815 COLORADO BLVD STE 300, LOS ANGELES, CA 90041-1744
(323) 636-8122
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
710079
CA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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