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Nurse Practitioner

NPI: 1962976456Individual

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

95010821(CA)

Contact & Hours

Address: 4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Phone: (323) 953-7170

Quick Facts

NPI: 1962976456
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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