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Individual

CATHY OH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1116 W 161ST ST, GARDENA, CA 90247-4416
(310) 741-1145
Mailing address
1116 W 161ST ST, GARDENA, CA 90247-4416

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23746
CA
363LX0106X
Occupational Health Nurse Practitioner
23746
CA

Other

Enumeration date
02/05/2014
Last updated
02/05/2014
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