Individual
SANDY PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4125 JOSEPHINE ST, LYNWOOD, CA 90262-4403
(562) 760-1432
Mailing address
4125 JOSEPHINE ST, LYNWOOD, CA 90262-4403
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
700729
CA
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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