OLIVFAUN STALLWORTH

LOS ANGELES, CA
NPI1104624477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  198805)
Enumeration Date2025-03-04
Last Update Date2025-03-04
Business Address
OLIVFAUN STALLWORTH
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059-3019
Phone number: 310-221-6336
Mailing Address
OLIVFAUN STALLWORTH
12021 WILMINGTON AVE STE 2B
LOS ANGELES, CA 90059-3019
Phone number: 310-221-6336
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