Gary Palencia
Licensed Vocational Nurse in Los Angeles, CA. Individual provider (NPI-1).
NPI number1366153298
StatusActive
Last updated in NPPESDec 12, 2022
Details
- NPI
- 1366153298
- Entity type
- Individual (NPI-1)
- Name
- Gary Palencia
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2022
- Certification date
- Dec 12, 2022
- Last updated
- Dec 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 702846 | CA | Yes |
Practice location
2829 S Grand AveLos Angeles, CA 90007-3304
Phone 323-699-7080
Mailing address
2829 S Grand AveLos Angeles, CA 90007-3304
Phone 323-699-7080
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