Individual
MRS. HEIDI SKEPPSTROM BOLLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 268-3872
Mailing address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 268-3872
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
13947
CA
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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