Individual
MRS. TONI LATREASE CRAIGS THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3751 STOCKER ST, 1ST FLOOR, VIEW PARK, CA 90008
(323) 298-3681
(323) 292-0053
Mailing address
400 CULVER BLVD, APT. 4, PLAYA DEL REY, CA 90293-7763
(323) 298-3681
(323) 292-0053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
547387
CA
363L00000X
Nurse Practitioner
19205
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
19205
CA
Other
Enumeration date
01/18/2007
Last updated
12/04/2020
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