Individual
WENDY MIYARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 WEST CARSON STREET, BOX 410, TORRANCE, CA 90509-2004
(310) 222-2339
Mailing address
1000 WEST CARSON STREET, BOX 410, TORRANCE, CA 90509
(310) 222-2339
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
634457
CA
364SP0200X
Pediatric Clinical Nurse Specialist
634457
CA
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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