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Individual

NIA SUSAN BAKEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2059
(424) 306-8132
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2004

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
401346
CA
163WP2201X
Ambulatory Care Registered Nurse
401346
CA

Other

Enumeration date
01/11/2023
Last updated
01/11/2023
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