Individual
JOY L EDVALSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 268-4419
Mailing address
15955 ACRE ST, NORTH HILLS, CA 91343-4819
(818) 399-4056
(818) 893-2835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 422394 NP7925
CA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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