Individual
JENNIFER QUANDT NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15477 VENTURA BLVD, SHERMAN OAKS, CA 91403-3006
(818) 907-0322
Mailing address
18216 TRIBUNE ST., NORTHRIDGE, CA 91326
(818) 363-8096
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
534564
CA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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