Individual
FLORA OSASOGIE AMADASUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7841 BONNY DOWNS WAY, ELK GROVE, CA 95758-6572
(916) 667-6511
Mailing address
7841 BONNY DOWNS WAY, ELK GROVE, CA 95758-6572
(916) 667-6511
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
246484
CA
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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