Individual
HOLLY O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4422 VIA MARINA #P712, APT P712, MARINA DEL REY, CA 90292-6890
(940) 642-5094
Mailing address
4422 VIA MARINA # P712, APT P712, MARINA DEL REY, CA 90292-6890
(940) 642-5094
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
112562
CA
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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