Individual
RECHANDA MARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(833) 574-2273
Mailing address
6161 FAIRMOUNT AVE APT 482, SAN DIEGO, CA 92120-3668
(786) 999-5038
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
95229100
CA
163WP2201X
Ambulatory Care Registered Nurse
95229100
CA
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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