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Individual

MRS. ELVIA NEVAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDA

Contact information

Practice address
3217 GANAHL ST., LOS ANGELES, CA 90063
(323) 440-9957
Mailing address
3217 GANAHL ST., LOS ANGELES, CA 90063
(323) 440-9957

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
76408
CA

Other

Enumeration date
06/19/2012
Last updated
07/12/2013
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