Individual
BRIDGETT FREENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
836 W ATHENS BLVD, LOS ANGELES, CA 90044-3958
(310) 894-1797
Mailing address
836 W ATHENS BLVD, LOS ANGELES, CA 90044-3958
(310) 894-1797
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN167067
CA
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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