Individual
EMILY LANCASTER TAJUDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
6043 HOLLYWOOD BLVD, LOS ANGELES, CA 90028-5411
(323) 337-1720
(323) 337-1784
Mailing address
530 W CORNELIA AVE, 1N, CHICAGO, IL 60657-2758
(310) 625-0319
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
22019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22019
CALIFORNIA FURNISHING LICENSE
CA
Enumeration date
07/14/2012
Last updated
03/28/2017
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