Individual
MR. KEVIN LARRY GARCIA MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(323) 346-4587
Mailing address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(323) 346-4587
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95011435
CA
Other
Enumeration date
03/19/2019
Last updated
01/05/2021
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