Individual
MS. ISABELITA MACALMA VIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18822 1/2 CHASE ST, NORTHRIDGE, CA 91324-4512
(818) 521-1694
(818) 818-5095
Mailing address
18822 1/2 CHASE ST, NORTHRIDGE, CA 91324-4512
(818) 521-1694
(818) 818-5095
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95016502
CA
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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