Individual
MARY ELIZABETH PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7232 VAN NUYS BLVD STE 101, VAN NUYS, CA 91405-2231
(818) 785-1890
(818) 785-1922
Mailing address
7232 VAN NUYS BLVD STE 101, VAN NUYS, CA 91405-2231
(818) 785-1890
(818) 785-1922
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
451796
CA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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