Organization
LOS ANGELES UNIFIED SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA LISA VILLANUEVA RN (PEDIATRIC NURSE PRACTITIONER)
(626) 429-2179
Entity
Organization
Contact information
Practice address
1127 CROWNE DR., PASADENA, CA 91107
(626) 798-4408
Mailing address
1127 CROWNE DR, PASADENA, CA 91107-5912
(626) 798-4408
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
276628
CA
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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