Individual
MRS. NANELLE TESORO PETROCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5901 E 7TH ST RM 1S149, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
5901 E 7TH ST RM 1S149, LONG BEACH, CA 90822-5201
(562) 826-8000
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
95106753
CA
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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