Individual
MRS. ANGELA COMMODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11741 TELEGRAPH RD, STE G-H, SANTA FE SPRINGS, CA 90670-3681
(626) 254-5000
Mailing address
9410 OLIVE ST, BELLFLOWER, CA 90706-4516
(562) 326-2218
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN199852
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164X00000X
NONE
CA
Enumeration date
09/22/2009
Last updated
09/22/2009
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