Individual
EDNALYN VIESCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23700 CAMINO DEL SOL, TORRANCE, CA 90505-5017
(310) 579-1179
Mailing address
24413 MADISON ST, TORRANCE, CA 90505-6628
(310) 819-5302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
692474
CA
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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