Ellen Louise Vaca

NPI #1700206976 in La Canada, California

Provider Information

NPI Number: 1700206976
Entity Type: Individual
Name: Ellen Louise Vaca
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 25, 2014
Last Updated: Apr 25, 2014

Practice Location

Address: 4455 ROCKLAND PL
Address 2: UNIT 20
City: La Canada
State: California
ZIP Code: 91011-1944
Phone: (818) 691-6813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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