Individual
AMANDA JANE ROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9124 S WESTERN AVE, LOS ANGELES, CA 90047-3518
(213) 949-9123
Mailing address
9124 S WESTERN AVE, LOS ANGELES, CA 90047-3518
(213) 949-9123
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN139061
CA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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