Individual
GERALD CORNELIO BUHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1701 CAMINO PALMERO ST, LOS ANGELES, CA 90046-2902
(323) 876-0550
Mailing address
2809 BAYWATER AVE, SAN PEDRO, CA 90731-6643
(310) 707-8878
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
244232
CA
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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