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Individual

NICOLE MONK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
1331 W AVENUE J STE 206, LANCASTER, CA 93534-2954
(661) 802-7167
Mailing address
1418 MADRID LN, LOS ANGELES, CA 90047-5368
(702) 277-0597

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
19367
CA

Other

Enumeration date
08/03/2020
Last updated
08/03/2020
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