Individual
JOHNNY ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21000 PLUMMER ST, CHATSWORTH, CA 91311-4903
(818) 882-6400
(818) 775-0686
Mailing address
21000 PLUMMER ST, CHATSWORTH, CA 91311-4903
(818) 882-6400
(818) 775-0686
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN701601
CA
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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