Individual
ALANIS GABRIELLE VIENOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
526 ROBIN DR, APTOS, CA 95003-4716
(831) 588-4251
Mailing address
14245 FROST BLVD, BOULDER CREEK, CA 95006-9507
(831) 254-3329
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
711851
CA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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