Individual
ELVIRA ISABEL BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 INDUSTRY WAY, LYNWOOD, CA 90262-4283
(310) 627-4525
Mailing address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4284
(310) 627-4525
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN704305
CA
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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