MS. Lucille Versailles, LVN
NPI #1023320140 in San Pedro, California
Provider Information
- NPI Number
- 1023320140
- Entity Type
- Individual
- Name
- MS. Lucille Versailles, LVN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Jul 6, 2010
- Last Updated
- Jul 6, 2010
Practice Location
- Address
- 2161 W. 25TH STREET
- Address 2
- #34
- City
- San Pedro
- State
- California
- ZIP Code
- 90732-4135
- Phone
- (310) 547-1574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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