Individual
ALFREDO ALFONSO CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14139 BUCHER AVE, SYLMAR, CA 91342-1442
(310) 221-6336
Mailing address
14139 BUCHER AVE, SYLMAR, CA 91342-1442
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
740406
CA
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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