Individual
MRS. CZARINA ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12333 1/2 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5509
(310) 904-6414
Mailing address
12333 1/2 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5509
(310) 904-6414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014985
CA
Other
Enumeration date
02/11/2020
Last updated
03/19/2025
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