Individual
ASYIA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 N INDIAN CANYON DR STE A, PALM SPRINGS, CA 92262-4880
(760) 322-9056
Mailing address
1330 N INDIAN CANYON DR STE A, PALM SPRINGS, CA 92262-4880
(760) 322-9056
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
742848
CA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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