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

PAMELA DELORIS DAVIS GOODACRE, LVN

Active Sole Proprietor

PAMELA DELORIS DAVIS GOODACRE, LVN is a Licensed Vocational Nurse healthcare provider located in INGLEWOOD, California. NPI 1104493055 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · INGLEWOOD, CA

Registration Details

NPI Number
1104493055
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2021 (5.0009330903817 yrs)
Last Updated
Jun 9, 2021
License
151365 (CA)
Sole Proprietor
Yes

Practice Information

Address
4450 W CENTURY BLVD
INGLEWOOD, CA, 903041504
Browse CA providers · Browse ZIP 90304
Phone
3106710555
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in INGLEWOOD, CA

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.