MEDICARE: MS. MARIAN GENICE HOWELL 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
1	164X00000X	Licensed Vocational Nurse	183426	CA

General Provider Information

NPI Number	:	1932249968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIAN GENICE HOWELL LVN

Provider Business Mailing Address
First Line	:	4165 WEST 60TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043
Country	:	US
Telephone Number	:	213-639-0216
Fax Number	:

Provider Business Practice Location Address
First Line	:	4165 W 60TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043-3601
Country	:	US
Telephone Number	:	213-639-0216
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	07/08/2007

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