Individual
SRI DARMAWATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 226-6380
Mailing address
119 S CALIFORNIA ST APT 13, SAN GABRIEL, CA 91776-1592
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
839649
CA
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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