Individual
MS. ADALJIZA TAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Contact information
Practice address
1225 W 190TH ST STE 280, GARDENA, CA 90248-4305
(310) 515-8113
(310) 538-2102
Mailing address
PO BOX 31231, LOS ANGELES, CA 90031-0231
(323) 947-4901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95013634
CA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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