Individual
NINIA R CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
121 W LEXINGTON DR STE 303B, GLENDALE, CA 91203-2203
(818) 671-0012
(818) 671-5581
Mailing address
121 W LEXINGTON DR STE 303B, GLENDALE, CA 91203-2203
(626) 274-5411
(818) 671-5581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95006625
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95006625
CA
Other
Enumeration date
04/17/2018
Last updated
02/01/2023
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