Individual
DAZHANE BUNZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
246 E 47TH ST, LOS ANGELES, CA 90011-3908
(323) 877-7329
Mailing address
246 E 47TH ST, LOS ANGELES, CA 90011-3908
(323) 877-7329
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
709443
CA
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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