Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Nov 15, 2018
License(s)
95016894 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 191 ARGONNE AVE STE 3 | Long Beach, CA 90803-3231 | 562-434-6007 |
| MAILING | 206 N JACKSON ST | Glendale, CA 91206-4330 | 818-241-6780 |
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