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NPI Code Detail

MEDICARE: MS. ALICE EUGENIA KOCEVAR LVN

MEDICARE: MS. ALICE EUGENIA KOCEVAR LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational NurseVN236877CA

General Provider Information

NPI Number : 1477899664
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALICE EUGENIA KOCEVAR LVN
Provider Business Mailing Address
First Line : 3035 N GOLD STAR DR
Second Line : APT#178
City : LONG BEACH
State : CA
Zip : 90810-2755
Country : US
Telephone Number : 562-481-2654
Fax Number :
Provider Business Practice Location Address
First Line : 3035 N GOLD STAR DR
Second Line : APT#178
City : LONG BEACH
State : CA
Zip : 90810-2755
Country : US
Telephone Number : 562-481-2654
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2012
Last Update Date : 12/17/2012

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