Provider Demographics
NPI:1336885367
Name:BATTLE ONIHA, VANESSA R C
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:R C
Last Name:BATTLE ONIHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 E 23RD ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90011-1265
Mailing Address - Country:US
Mailing Address - Phone:424-228-0425
Mailing Address - Fax:
Practice Address - Street 1:906 E 23RD ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90011-1265
Practice Address - Country:US
Practice Address - Phone:424-228-0425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA205640164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse