Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Nov 13, 2025
License(s)
95038643 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 28153 ROYAL RD | Castaic, CA 91384-3025 | 661-904-5588 |
| LOCATION | 28153 ROYAL RD | Castaic, CA 91384-3025 | 661-904-5588 |
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