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Individual

IRENE WOJTKIEWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
3831 HUGHES AVE, SUITE 506, CULVER CITY, CA 90232-2751
(310) 280-9670
(310) 280-9675
Mailing address
17530 ORANGETREE DR, CARSON, CA 90746-7470
(310) 635-0262

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
552922
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23040
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23040
NP LICENSE
CA
01
552922
RN LICENSE
CA
Enumeration date
03/14/2007
Last updated
06/02/2014
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