Individual
BRENDA NATALIE LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6043 HOLLYWOOD BLVD, LOS ANGELES, CA 90028-5411
(323) 337-1735
Mailing address
6043 HOLLYWOOD BLVD, LOS ANGELES, CA 90028-5411
(323) 337-1735
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
785959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235271065
—
CA
Enumeration date
08/27/2018
Last updated
08/27/2018
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