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1518161926
FE V FONTANILLA
LOS ANGELES, CA
NPI
1518161926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA rn301838)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
-- FE V FONTANILLA rn
5105 W GOLDLEAF CIR
LOS ANGELES, CA 90056-1269
Phone number: 323-298-3183
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Mailing Address
-- FE V FONTANILLA rn
5105 W GOLDLEAF CIR
LOS ANGELES, CA 90056-1269
Phone number: 323-298-3183
Copy
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