Individual
CHERYL DE LA CUADRA-RESPICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNP
Contact information
Practice address
1526 N EDGEMONT ST FL 7, LOS ANGELES, CA 90027-5260
(323) 783-8817
Mailing address
1526 N EDGEMONT ST - ICD CLINIC, LOS ANGELES, CA 90027-5260
(323) 783-8861
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
563214
CA
390200000X
Student in an Organized Health Care Education/Training Program
563214
CA
Other
Enumeration date
06/14/2017
Last updated
08/14/2024
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