Individual
MR. ERIC WINEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.V.N
Contact information
Practice address
1020 S ARROYO PKWY, PASADENA, CA 91105-3911
(626) 403-2794
Mailing address
2526 HOLLISTER TER, GLENDALE, CA 91206-3038
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
170826
CA
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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