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Individual

BINDHU KOICKAL MATHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12354 HEDDA DR, CERRITOS, CA 90703-8434
(773) 574-7933
Mailing address
12354 HEDDA DR, CERRITOS, CA 90703-8434
(773) 574-7933

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95020471
CA

Other

Enumeration date
04/08/2022
Last updated
04/08/2022
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