Individual
AMUDALAT LANVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5194 SISTIANA WAY, ANTIOCH, CA 94531-5021
(510) 372-3639
Mailing address
5194 SISTIANA WAY, ANTIOCH, CA 94531-5021
(510) 372-3639
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
9532617
CA
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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