Individual
ELLEN D COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16371 MERCURY DR, WESTMINSTER, CA 92683-7714
(714) 335-4273
Mailing address
16371 MERCURY DR, WESTMINSTER, CA 92683-7714
(714) 335-4273
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
230398
CA
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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