Individual
HITOMI WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-5109
Mailing address
1404 S VERMONT AVE, LOS ANGELES, CA 90006-4504
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
539504
CA
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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