Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
May 23, 2024
License(s)
95030209 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4320 MARICOPA ST | Torrance, CA 90503-4314 | 310-804-0948 |
| MAILING | 19421 GALWAY AVE | Carson, CA 90746-1921 | 310-804-0948 |
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