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MS. LILLIAN GRAY MGONJA REGISTERED NURSE

Nursing Yellow Pages

Compton, California

Provider NPI: 1851624571

Provider Information:
MS. LILLIAN GRAY MGONJA REGISTERED NURSE


Practice Location:
623 S. LONG BEACH BLVD SUITE A/B COMPTON, CA 90221 US
Tel: 310-637-0341  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WA0400XNursing Service Providers
Registered Nurse
Addiction (Substance Use Disorder)
CA581333
Y163WA2000XNursing Service Providers
Registered Nurse
CA581433

Other Provider Identifiers:

IssuerNumberStateType
REGISTERD NURSE581433CA01
RN LICENSE581433CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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