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Individual

ANGI ENRIQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1200 N STATE ST, LOS ANGELES, CA 90089-1001
(213) 675-5317
Mailing address
800 E OCEAN BLVD UNIT 905, LONG BEACH, CA 90802-5453
(562) 900-3634

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95034454
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95034454
BOARD OF REGISTERED NURSES
CA
Enumeration date
07/15/2021
Last updated
07/15/2021
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