Individual
ALEXANDRA MARIA COUSINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8815 GLENDON WAY, ROSEMEAD, CA 91770-1805
(626) 771-5430
Mailing address
2907 E ARBOR LN, ONTARIO, CA 91762-7217
(626) 771-5430
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN157254
CA
Other
Enumeration date
07/08/2018
Last updated
07/08/2018
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