Individual
BIANCA SAMARASINGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN LPN
Contact information
Practice address
5620 DENNY AVE, APT 5, NORTH HOLLYWOOD, CA 91601-2102
(310) 801-7538
Mailing address
5620 DENNY AVE, APT 5, NORTH HOLLYWOOD, CA 91601-2102
(310) 801-7538
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
VN239115
CA
164X00000X
Licensed Vocational Nurse
Primary
VN239115
CA
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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