Individual
TITSYANA SALLOUM LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 N DOUGLAS ST, EL SEGUNDO, CA 90245-4637
(310) 725-5800
Mailing address
201 N DOUGLAS ST, EL SEGUNDO, CA 90245-4637
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95284130
CA
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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