Individual
MRS. DIANA PEREZ NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
12756 VAN NUYS BLVD, PACOIMA, CA 91331-1626
(818) 896-0531
Mailing address
15012 MINNEHAHA ST, MISSION HILLS, CA 91345-2521
(818) 687-0317
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
4212
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305946
NURSE PRACTITIONER LICENS
CA
Enumeration date
02/27/2007
Last updated
07/08/2007
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