Provider Demographics
NPI:1649585852
Name:GEORGE-ABIOLA, EELYN A (LVN)
Entity Type:Individual
Prefix:MRS
First Name:EELYN
Middle Name:A
Last Name:GEORGE-ABIOLA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24251 RUE DE CEZANNE
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-6107
Mailing Address - Country:US
Mailing Address - Phone:949-510-8792
Mailing Address - Fax:949-249-3196
Practice Address - Street 1:24251 RUE DE CEZANNE
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-6107
Practice Address - Country:US
Practice Address - Phone:949-510-8792
Practice Address - Fax:949-249-3196
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN 212176164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse