Individual
MAYRA LIZZETTE YNIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
Mailing address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
95020004
CA
367A00000X
Advanced Practice Midwife
Primary
236247
CA
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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