Individual provider · NPI-1

Joyce Ilustrisimo Abella

Licensed Vocational Nurse · Los Angeles, CA

NPI number1245079102
StatusActive
Last updated in NPPESMay 21, 2024

Details

NPI
1245079102
Entity type
Individual (NPI-1)
Name
Joyce Ilustrisimo Abella
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2024
Certification date
May 21, 2024
Last updated
May 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational NurseLVN287818CAYes

Practice location

1774 Zonal Ave Bldg C
Los Angeles, CA 90033-1064

Phone 310-221-6336

Mailing address

1774 Zonal Ave Bldg C
Los Angeles, CA 90033-1064

Phone 310-221-6336

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