Individual
MS. REMY FLORES WAX
Active
Individual
MS. REMY FLORES WAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
VN 153408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QIC 24560
—
CA
Enumeration date
12/11/2008
Last updated
12/11/2008
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