Individual
SOPHEA LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 975-7955
Mailing address
3724 CYPRESS AVE, EL MONTE, CA 91731-2725
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95030482
CA
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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