Ambrocia Lourdes Revillas
Licensed Vocational Nurse in Salinas, CA. Individual provider (NPI-1).
NPI number1164099412
StatusActive
Last updated in NPPESJun 7, 2021
Details
- NPI
- 1164099412
- Entity type
- Individual (NPI-1)
- Name
- Ambrocia Lourdes Revillas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2021
- Certification date
- Jun 7, 2021
- Last updated
- Jun 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 251187 | CA | Yes |
Other names
- Amber Revillas (Other Name)
Practice location
427 Pajaro St Ste 4Salinas, CA 93901-3459
Phone 831-424-6655 · Fax 831-424-9717
Mailing address
427 Pajaro St Ste 456Salinas, CA 93901-3459
Phone 831-424-6655
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All 55 Licensed Vocational Nurse providers in Salinas · All 5,251 providers in Salinas
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