Ishmael Badze, LVN
NPI #1629682463 in Sherman Oaks, California
Provider Information
- NPI Number
- 1629682463
- Entity Type
- Individual
- Name
- Ishmael Badze, LVN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Aug 31, 2020
- Last Updated
- Jan 2, 2021
Practice Location
- Address
- 14560 1/4 DICKENS ST
- City
- Sherman Oaks
- State
- California
- ZIP Code
- 91403-3766
- Phone
- (310) 698-9099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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