Individual
JENNIFER NATHELIA MCGRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11642 GLENOAKS BLVD, PACOIMA, CA 91331-1068
(818) 897-2609
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
262084
CA
Other
Enumeration date
11/29/2014
Last updated
11/29/2014
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