Individual
MS. TERREVIA LA SHAWN BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1423 W 66TH ST, LOS ANGELES, CA 90047-2011
(323) 920-4856
(323) 451-8098
Mailing address
1423 W 66TH ST, LOS ANGELES, CA 90047-2011
(323) 920-4856
(323) 451-8098
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN487145
CA
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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