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1225702905
VENUS WALLACE
LONG BEACH, CA
NPI
1225702905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA LVN288594)
Enumeration Date
2021-08-05
Last Update Date
2021-08-05
Business Address
VENUS WALLACE
1501 HUGHES WAY STE 150
LONG BEACH, CA 90810-1878
Phone number: 310-221-6336
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Mailing Address
VENUS WALLACE
1501 HUGHES WAY STE 150
LONG BEACH, CA 90810-1878
Phone number: 310-221-6336
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