Individual
ALLAIN JULIAN CAMANAG VICTORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PHN, AGPCNP-BC
Contact information
Practice address
10000 LAKEWOOD BLVD, DOWNEY, CA 90240-4020
(562) 862-3684
Mailing address
15723 THORNLAKE AVE, NORWALK, CA 90650-6768
(562) 275-5860
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95173882
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95026004
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
01/09/2017
Last updated
08/19/2024
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