Individual provider · Type 1 NPI

Pamela Deloris Davis Goodacre, LVN

Licensed Vocational Nurse · Inglewood, CA

NPI number 1104493055 Active

Practice location

4450 W Century Blvd
Inglewood, CA 90304-1504

Call (310) 671-0555 Map

Mailing address

331 E Tamarack Ave Apt 7
Inglewood, CA 90301-2759

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X151365 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1104493055

Pamela Deloris Davis Goodacre, LVN's National Provider Identifier is 1104493055, issued on Jun 9, 2021. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Inglewood, CA. The record was last updated on Jun 9, 2021.