Picc Line Access INC
Registered Nurse in Riverside, CA. Organization (NPI-2).
NPI number1801036611
StatusActive
Last updated in NPPESMar 6, 2009
Details
- NPI
- 1801036611
- Entity type
- Organization (NPI-2)
- Legal business name
- Picc Line Access INC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2009
- Last updated
- Mar 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 424764 | CA | Yes |
Practice location
822 Kilmarnock WayRiverside, CA 92508-6077
Phone 951-533-5551
Mailing address
822 Kilmarnock WayRiverside, CA 92508-6077
Phone 951-533-5551
Authorized official
Lan A Lavelle
Owner
9515333331
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