Individual
MISS BERNADETTE DE LARA GUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
8215 VAN NUYS BLVD, SUITE 210, PANORAMA CITY, CA 91402-4810
(818) 901-0373
(818) 782-7320
Mailing address
8215 VAN NUYS BLVD, SUITE 210, PANORAMA CITY, CA 91402-4810
(818) 901-0373
(818) 782-7320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19791
CA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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