Individual
BLANCA Y COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 NORTH AVE 54, LOS ANGELES, CA 90042-3331
(323) 304-1852
Mailing address
524 NORTH AVE 54, LOS ANGELES, CA 90042-3331
(323) 304-1852
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
200312
CA
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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