Individual
JULICIA MCCONICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 W 103RD ST, LOS ANGELES, CA 90003-4405
(213) 770-3107
Mailing address
407 W 103RD ST, LOS ANGELES, CA 90003-4405
(213) 770-3107
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
693590
CA
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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