Individual
CHRISTINE HERMOSILLO-EXZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
20800 SHERMAN WAY, WINNETKA, CA 91306-2707
(818) 883-2273
Mailing address
8902 WOODMAN AVE, ARLETA, CA 91331-6401
(818) 830-7133
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN147503
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP70468F
EAPC GRANT
CA
Enumeration date
07/03/2007
Last updated
07/08/2007
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