Individual
MONIQUE VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP
Contact information
Practice address
221 WESTWOOD PLZ, LOS ANGELES, CA 90095-1703
(310) 794-7919
Mailing address
221 WESTWOOD PLZ, LOS ANGELES, CA 90095-1703
(310) 794-7919
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RNP11874
CA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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