Individual
MR. FLAVIANO ESTRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
5109 WORLD DAIRY DR, MADISON, WI 53718-3807
(608) 242-0220
Mailing address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 218-1868
(562) 591-0346
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320887
WI
Other
Enumeration date
01/24/2014
Last updated
11/28/2023
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