Individual
KAMALA KENNETRIA GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2707 S CENTRAL AVE, LOS ANGELES, CA 90011-5527
(323) 234-5000
Mailing address
110 E SPRUCE AVE, APARTMENT #6, INGLEWOOD, CA 90301-2752
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22511
CA
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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