Mr Randle Claude Ellington Ii, LVN | |
4721 S Victoria Ave, View Park, CA 90043-1230 | |
(323) 573-3811 | |
Not Available |
Full Name | Mr Randle Claude Ellington Ii |
---|---|
Gender | Male |
Speciality | Licensed Vocational Nurse |
Location | 4721 S Victoria Ave, View Park, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912696204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | 725838 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Randle Claude Ellington Ii, LVN 4721 S Victoria Ave, View Park, CA 90043-1230 Ph: (323) 573-3811 | Mr Randle Claude Ellington Ii, LVN 4721 S Victoria Ave, View Park, CA 90043-1230 Ph: (323) 573-3811 |
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