Individual
RAISA HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2284 E MAPLE AVE, EL SEGUNDO, CA 90245-6507
(310) 414-9761
(310) 414-9765
Mailing address
2284 E MAPLE AVE, EL SEGUNDO, CA 90245-6507
(310) 414-9761
(310) 414-9765
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
6214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN357727
MEDI-CAL
CA
Enumeration date
10/25/2006
Last updated
10/20/2023
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