Individual
ANGELES ALFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
441 S HAM LN STE A, LODI, CA 95242-3525
(209) 224-8940
Mailing address
441 S HAM LN STE A, LODI, CA 95242-3525
(209) 224-8940
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN689129
CA
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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