JOEDERICK SANTOS REGUYAL

VAN NUYS, CA
NPI1538351218
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN206114)
Enumeration Date2007-08-15
Last Update Date2007-08-15
Business Address
-- JOEDERICK SANTOS REGUYAL
14416 HAMLIN ST SUITE 210
VAN NUYS, CA 91401-1486
Phone number: 818-989-6248
Mailing Address
-- JOEDERICK SANTOS REGUYAL
21000 BRYANT ST UNIT # 6
CANOGA PARK, CA 91304-2851
Phone number: 818-216-6687