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Individual

MISS ELIZABETH MARIE AVENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
2555 E COLORADO BLVD STE 100, PASADENA, CA 91107-6617
(626) 577-2261
(626) 204-0159
Mailing address
2555 E COLORADO BLVD STE 100, PASADENA, CA 91107-6617
(626) 577-2261
(626) 204-0159

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
266569
CA

Other

Enumeration date
03/01/2013
Last updated
01/27/2017
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