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Individual

MRS. SANDRA G ULLOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 728-0411
Mailing address
4727 DOZIER AVE, LOS ANGELES, CA 90022-1320
(323) 262-1122

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
678160
CA

Other

Enumeration date
02/14/2007
Last updated
07/08/2007
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