Individual
CAMILLE FAYOLA DE GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
529 S LAFAYETTE PARK PLACE 3RD FLOOR, LOS ANGELES, CA 90057
(213) 252-2100
Mailing address
2002 THURMAN AVE APT 12A, LOS ANGELES, CA 90016-1056
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
248407
CA
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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