Individual
DOMONIQUE PORCHE' SAUNDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(714) 452-7834
Mailing address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(714) 452-7834
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
255801
CA
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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