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MRS. COLETTE MARY SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8540 S SEPULVEDA BLVD, SUITE 1010, LOS ANGELES, CA 90045-3807
(310) 216-1007
Mailing address
8540 S SEPULVEDA BLVD, SUITE 1010, LOS ANGELES, CA 90045-3807
(310) 216-1007

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
451990
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
16713
CA

Other

Enumeration date
08/05/2007
Last updated
07/07/2023
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