Individual
ISHMAEL BADZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
14560 1/4 DICKENS ST, SHERMAN OAKS, CA 91403-3766
(310) 698-9099
Mailing address
14560 1/4 DICKENS ST, SHERMAN OAKS, CA 91403-3766
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
249945
CA
Other
Enumeration date
08/31/2020
Last updated
01/02/2021
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