Individual
RAYMOND JERON MORILLA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
19610 SHERMAN WAY UNIT 19, RESEDA, CA 91335-3651
(818) 476-2248
Mailing address
19610 SHERMAN WAY UNIT 19, RESEDA, CA 91335-3651
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN198726
CA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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