Individual
LETICIA CAMANGEG ESTAVILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
23517 S. MAIN ST. #103, CARSON, CA 90745-0000
(310) 834-5388
Mailing address
23108 S VERMONT AVE, TORRANCE, CA 90502-2933
(310) 619-1851
(310) 952-0681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP 20204
CA
Other
Enumeration date
10/04/2010
Last updated
10/23/2021
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