Individual
GENNA A TEODOSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15911 SAN FERNANDO MISSION BLVD, GRANADA HILLS, CA 91344-3934
(661) 319-6662
Mailing address
15911 SAN FERNANDO MISSION BLVD, GRANADA HILLS, CA 91344-3934
(661) 319-6662
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95096619
CA
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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