Provider Demographics
NPI:1194420349
Name:SMITH, ALMIRA TALENTO (LVN/LPN)
Entity type:Individual
Prefix:
First Name:ALMIRA
Middle Name:TALENTO
Last Name:SMITH
Suffix:
Gender:F
Credentials:LVN/LPN
Other - Prefix:
Other - First Name:ALMIRA
Other - Middle Name:TALENTO
Other - Last Name:DE JUAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN; BSN
Mailing Address - Street 1:2612 RYANS PL
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-5354
Mailing Address - Country:US
Mailing Address - Phone:818-741-5313
Mailing Address - Fax:
Practice Address - Street 1:5001 W AVENUE N
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-2989
Practice Address - Country:US
Practice Address - Phone:661-722-5892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ276942164W00000X
NY340678164W00000X
CA725691164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse