Individual
JENNIFER DESTREZA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGNP
Contact information
Practice address
5315 TORRANCE BLVD, TORRANCE, CA 90503-4011
(800) 535-8446
Mailing address
3821 W 184TH PL, TORRANCE, CA 90504-4813
(310) 634-9739
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95012280
CA
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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