Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Pediatrics
Enumerated
Dec 16, 2013
License(s)
729698 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 18433 ROSCOE BLVD #102 | Northridge, CA 91325-4108 | 818-361-5437 |
| LOCATION | 18433 ROSCOE BLVD #106 | Northridge, CA 91325-4108 | 818-361-5437 |
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