Individual
AIA THERESE INTREPIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
23 SHORT WAY ST, SOUTH PASADENA, CA 91030-4050
(213) 448-2113
Mailing address
23 SHORT WAY ST, SOUTH PASADENA, CA 91030-4050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95032565
CA
Other
Enumeration date
11/30/2024
Last updated
11/30/2024
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