Individual
PATRICIA DAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP, PHN, RN
Contact information
Practice address
9551 BOTHWELL RD, NORTHRIDGE, CA 91324-2105
(818) 624-4416
Mailing address
9551 BOTHWELL RD, NORTHRIDGE, CA 91324-2105
(818) 624-4416
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
514879
CA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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