Individual
ERICA ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD RM 3055, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD, BUILDING 500 RM 3005, LOS ANGELES, CA 90073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95027558
CA
Other
Enumeration date
11/02/2023
Last updated
02/05/2024
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