Facts
- Status
- A
- Credential
- FNP-C
- Type
- Individual
- Enumeration date
- 2017-02-28
- Last updated
- 2023-02-03
Specialties
Licenses
- License CA
- 95005871
Location
- Practice location
- 8787 HALL RD
- City
- LAMONT CA
- Postal code
- 932411953
- Phone
- 661-845-3688
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.