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1407456403
IMELDA MEDINA
LOS ANGELES, CA
NPI
1407456403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 243336)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
IMELDA MEDINA
4920 AVALON BLVD
LOS ANGELES, CA 90011-4004
Phone number: 323-235-5035
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Mailing Address
IMELDA MEDINA
3747 W 107TH ST
INGLEWOOD, CA 90303-1933
Phone number: 310-213-6258
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