Individual
MISS MABEL CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1138 S LA CIENEGA BLVD APT 15, LOS ANGELES, CA 90035-2541
(310) 228-7605
Mailing address
1138 S LA CIENEGA BLVD APT 15, LOS ANGELES, CA 90035-2541
(310) 228-7605
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
657171
CA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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