Cordova, Kismet Krystel Vine
Cordova, Kismet Krystel Vine is an individual health care provider with primary practice located at 605 W Olympic Blvd , Los Angeles CA 90015-1400. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Cordova, Kismet Krystel Vine can be contacted via phone (213) 236-9388.Contact Information
Primary practice address
605 W Olympic Blvd
Los Angeles CA 90015-1400
Phone: (213) 236-9388
Fax: (213) 489-7993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 258247 | California |
Profile Details
| NPI number | 1134487226 |
|---|---|
| LBN Legal business name | Cordova, Kismet Krystel Vine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2012 |
| Last updated | Apr 26th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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