Individual
MRS. MANJARI JASWANT BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5010 TIMBERLAKE TER, CULVER CITY, CA 90230-4334
(323) 359-5698
Mailing address
5010 TIMBERLAKE TER, CULVER CITY, CA 90230-4334
(323) 359-5698
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95000642
CA
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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