Individual
ELVIA HUARACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1771 GRIFFITH AVE, CLOVIS, CA 93611-5124
(559) 287-2910
Mailing address
1771 GRIFFITH AVE, CLOVIS, CA 93611-5124
(559) 287-2910
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN257514
CA
Other
Enumeration date
09/14/2012
Last updated
09/21/2022
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