Most Relevant Information
Provider Data
| NPI Number: | 1003057142 |
| Provider Name: | SANDRA PATRICIA TRIM LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 191952 |
Most Important Dates
| Enumeration Date: | 03/19/2009 |
| Last Updated: | 03/19/2009 |
Provider Practice Location
2048 W 69 ST
LOS ANGELES
CA
90047
Practice Location Phone/Fax
| Phone: | 3105711118 |
| Fax: | 3103974417 |
Provider Mailing Location
2048 W 69TH ST
LOS ANGELES
CA
900471728
Provider Mailing Phone/Fax
| Phone: | 3107511118 |
| Fax: | 3103974417 |