Individual
MRS. ABAYNESH BISHAW BELETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6000
Mailing address
13232 S MANHATTAN PL, GARDENA, CA 90249-1911
(310) 431-6027
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
275134
CA
Other
Enumeration date
01/27/2023
Last updated
01/31/2023
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