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Individual

HEIDI M CARLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
415 PIER AVE, HERMOSA BEACH, CA 90254-3820
(310) 379-6074
Mailing address
4710 W 191ST ST, TORRANCE, CA 90503-1412
(310) 863-7126

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
602993
CA
363LF0000X
Family Nurse Practitioner
95006848
CA

Other

Enumeration date
04/25/2018
Last updated
04/25/2018
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