Individual
CYNTHIA M WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17337 VENTURA BLVD, SUITE 200, ENCINO, CA 91316-3903
(818) 981-7845
(818) 457-3787
Mailing address
17337 VENTURA BLVD, SUITE 200, ENCINO, CA 91316-3903
(818) 981-7845
(818) 457-3787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
796131
CA
Other
Enumeration date
10/04/2012
Last updated
10/31/2012
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