Individual
SALLY LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9401 PAINTER AVE, WHITTIER, CA 90605-2729
(562) 698-8121
Mailing address
9401 PAINTER AVE, WHITTIER, CA 90605-2729
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
467110
CA
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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