Individual
MS. LILIA VASHTI KNUDTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
353 SOUTH MAIN ST, ORANGE, CA 92868
(714) 771-8000
(714) 744-8630
Mailing address
3329-A EAST LOCHLEVEN LN, ORANGE, CA 92869
(714) 639-4101
(714) 744-8630
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN217087
CA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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