Individual
JORGE SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
(310) 632-0415
Mailing address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
688766
CA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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