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Individual

ERMINA CAVCIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(424) 259-8262
Mailing address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(424) 258-8262

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95004251
CA

Other

Enumeration date
06/02/2016
Last updated
06/02/2016
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