GRACE PUDDOC WILBUR

SAN PEDRO, CA
NPI1023280534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN139298)
Enumeration Date2008-03-25
Last Update Date2008-03-25
Business Address
-- GRACE PUDDOC WILBUR LVN
921 S BEACON ST
SAN PEDRO, CA 90731-3740
Phone number: 310-984-3055
Mailing Address
-- GRACE PUDDOC WILBUR LVN
921 S BEACON ST
SAN PEDRO, CA 90731-3740
Phone number: 310-984-3055
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