Individual
LETECIA A NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
Mailing address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
17890
CA
Other
Enumeration date
03/05/2008
Last updated
06/27/2014
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