Individual
ANTOINETTE LAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1009 N AVALON BLVD, WILMINGTON, CA 90744-4505
(310) 549-5760
Mailing address
1009 N AVALON BLVD, WILMINGTON, CA 90744-4505
(310) 549-5760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8978
CA
Other
Enumeration date
03/07/2006
Last updated
10/29/2013
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