Individual
GENESSEE MAURAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865
(657) 261-7140
Mailing address
1931 E MEATS AVE TRLR 5, ORANGE, CA 92865-4015
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
736344
CA
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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