Individual
CARMEN FERRUSQUILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
614 W MANCHESTER BLVD STE 104, INGLEWOOD, CA 90301-1683
(310) 412-0879
Mailing address
614 W MANCHESTER BLVD STE 104, INGLEWOOD, CA 90301-1683
(310) 412-0879
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
741303
CA
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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