Individual
JOANNA HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 S FETTERLY AVE, LOS ANGELES, CA 90022-1605
(323) 362-1042
Mailing address
245 S FETTERLY AVE, LOS ANGELES, CA 90022-1605
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
95169716
CA
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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