Individual
AUDREY JARANILLA GLORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
235 WELLESLEY ST, WESTON, MA 02493-1572
(310) 926-2613
Mailing address
14413 ELMBROOK DR, LA MIRADA, CA 90638-3815
(310) 926-2613
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
829867
CA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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