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Organization
MOBILE ADVANCED NURSING, INC.
Active
Organization
MOBILE ADVANCED NURSING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GEORGINA BACHOURA FNP (CEO/PRESIDENT)
(323) 630-2063
Entity
Organization
Contact information
Practice address
15782 MIDWOOD DR UNIT 3, GRANADA HILLS, CA 91344-3223
(323) 630-2063
Mailing address
15782 MIDWOOD DR UNIT 3, GRANADA HILLS, CA 91344-3223
(323) 630-2063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP21860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760746242
NPI
CA
Enumeration date
07/09/2014
Last updated
07/09/2014
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