JOSE REAL CATAYOC PONCIANO

LOS ANGELES, CA
NPI1255969788
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  239121)
Enumeration Date2020-03-30
Last Update Date2020-03-30
Business Address
JOSE REAL CATAYOC PONCIANO LVN
3580 WILSHIRE BLVD STE 1000
LOS ANGELES, CA 90010-2544
Phone number: 213-296-3783
Mailing Address
JOSE REAL CATAYOC PONCIANO LVN
9274 JUNEBERRY LN
NORTH HILLS, CA 91343-7821
Phone number:
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