Individual
MR. BRUCE ALLEN MCCAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.V.N.
Contact information
Practice address
14660 OXNARD ST, VAN NUYS, CA 91411-3119
(818) 901-4836
Mailing address
14660 OXNARD ST, VAN NUYS, CA 91411-3119
(818) 901-4836
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN204352
CA
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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