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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACE PUDDOC WILBUR, LVN

Active

GRACE PUDDOC WILBUR, LVN is a Licensed Vocational Nurse healthcare provider located in SAN PEDRO, California. NPI 1023280534 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · SAN PEDRO, CA

Registration Details

NPI Number
1023280534
Provider Type
Individual
Gender
Female
NPI Issued
Mar 25, 2008 (18.422013277998 yrs)
Last Updated
Mar 25, 2008
License
VN139298 (CA)

Practice Information

Address
921 S BEACON ST
SAN PEDRO, CA, 907313740
Browse CA providers · Browse ZIP 90731
Phone
3109843055
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in SAN PEDRO, CA

Name Credential NPI
MS. LUCILLE VERSAILLES LVN 1023320140
MS. FARINA YASMIN DARY 1952827917
HIEDY MAGANA LVN 1235637950
MS. TANEKA JOHNSON 1598268203
JESSICA J ROBLES LVN 1225505670
TATTYANNA FRESCAS 1174334163
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.