Individual
ELIZABETH HERAWATI TANZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23388 MULHOLLAND DR, WOODLAND HILLS, CA 91364-2733
(818) 876-1888
Mailing address
23388 MULHOLLAND DR, WOODLAND HILLS, CA 91364-2733
(818) 876-1073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
659628
CA
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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