Individual
MR. AILEEN KIZLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2125 SANTA FE AVE, LONG BEACH, CA 90810-3547
(562) 432-9575
(562) 432-9590
Mailing address
1922 GRAHAM AVE # A, REDONDO BEACH, CA 90278-1921
(562) 432-9575
(562) 432-9590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
565209
CA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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