Individual
AUDREY WONCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4434 HARDING AVE, LOS ANGELES, CA 90066-6123
(818) 430-6471
Mailing address
18012 HIAWATHA ST APT 286, NORTHRIDGE, CA 91326-3533
(818) 430-6471
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
266349
CA
Other
Enumeration date
01/29/2019
Last updated
02/03/2021
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