Individual
MISS CARLA MAE TENORIO CUISIA-ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-5396
Mailing address
28418 FARRIER DR, VALENCIA, CA 91354-4501
(909) 918-9517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22213
CA
Other
Enumeration date
10/03/2012
Last updated
02/11/2022
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