Individual
GRACIELA FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(213) 462-9830
Mailing address
14132 DONALDALE ST, LA PUENTE, CA 91746-1022
(323) 236-2403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
713768
CA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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