Individual
EMANUELA AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1308 S MASTERSON RD, ANAHEIM, CA 92804-4821
(714) 588-3053
Mailing address
1308 S MASTERSON RD, ANAHEIM, CA 92804-4821
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95008489
CA
Other
Enumeration date
02/10/2018
Last updated
02/10/2018
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