Most Relevant Information
Provider Data
| NPI Number: | 1003077462 |
| Provider Name: | JOANNA ZUHAIL CENTENO |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 229811 |
Most Important Dates
| Enumeration Date: | 06/18/2008 |
| Last Updated: | 06/18/2008 |
Provider Practice Location
11301 WILSHIRE BLVD
LOS ANGELES
CA
900731003
Practice Location Phone/Fax
| Phone: | 3104783711 |
| Fax: |
Provider Mailing Location
5708 CHESLEY AVE
LOS ANGELES
CA
900432424
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |