Individual
MS. NETTIE HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N
Contact information
Practice address
1000 CORPORATE CENTER DR, SUITE 110, MONTEREY PARK, CA 91754-7600
(800) 350-1323
Mailing address
17150 SAN MATEO ST, APT D-19, FOUNTAIN VALLEY, CA 92708-3669
(714) 962-6806
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
120349
CA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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