Individual
IRIS OLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
2519 PALM PL, WALNUT PARK, CA 90255-6620
(323) 712-3048
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
188667
CA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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