Individual
MRS. HARINI DELIA KOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
2 MELA LN, RANCHO PALOS VERDES, CA 90275-5078
(636) 248-9722
Mailing address
10000 LAKEWOOD BLVD, DOWNEY, CA 90240-4020
(562) 360-6039
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018038105
MO
Other
Enumeration date
01/20/2019
Last updated
06/14/2022
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