Individual
MS. HOLLY GRUWELL ANTONYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
24520 HAWTHORNE BLVD STE 240, TORRANCE, CA 90505-6849
(310) 300-6206
(310) 919-3703
Mailing address
28625 S WESTERN AVE # 55, RANCHO PALOS VERDES, CA 90275-0810
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21075
CA
Other
Enumeration date
08/19/2011
Last updated
09/29/2024
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