Licerio, Camilla Divina Galut
Licerio, Camilla Divina Galut is an individual health care provider with primary practice located at 2732 W Olympic Blvd , Los Angeles CA 90006-2633. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Licerio, Camilla Divina Galut can be contacted via phone (213) 382-6391.Contact Information
Primary practice address
2732 W Olympic Blvd
Los Angeles CA 90006-2633
Phone: (213) 382-6391
Fax: (213) 387-7475
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacy Technician | 183700000X | 144493 | California |
Profile Details
NPI number | 1811580137 |
---|---|
LBN Legal business name | Licerio, Camilla Divina Galut |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 17th, 2021 |
Last updated | Feb 26th, 2021 - about 3 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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