Individual
MRS. ADRIENNE ELAINE BAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
200 MEDICAL PLAZA, LOS ANGELES, CA 90095-0001
(310) 267-8233
(310) 825-9524
Mailing address
4322 LANAI RD, ENCINO, CA 91436-3617
(760) 662-0995
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
750357
CA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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