Individual
THERESA M. PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
3324 W SUNSET BLVD, LOS ANGELES, CA 90026-2118
(323) 660-2400
Mailing address
4204 CANYON CREST RD, ALTADENA, CA 91001-3718
(626) 798-9557
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN225340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1433
NURSE PRACTITIONER FURNISHING
CA
Enumeration date
02/18/2013
Last updated
02/18/2013
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