Individual
LILLIAN MARY GHOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13711 FOOTHILL BLVD UNIT B, SYLMAR, CA 91342-3138
(818) 408-8008
Mailing address
2512 HAWK ST, SIMI VALLEY, CA 93065-2343
(818) 825-4305
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95018094
CA
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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