Registry details
Type
Organization
Primary specialty
Nurse Practitioner, Family
Enumerated
Mar 19, 2025
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 12333 1/2 W WASHINGTON BLVD | Los Angeles, CA 90066-5509 | 310-904-6414 |
| LOCATION | 12333 1/2 W WASHINGTON BLVD | Los Angeles, CA 90066-5509 | 310-904-6414 |
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