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Individual

SUE LYNN YUDOVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
10833 LE CONTE AVENUE, 12-441MDCC, LOS ANGELES, CA 90095
(310) 206-3952
(310) 206-0209
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 206-3952

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN348678
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN348678
CA
Enumeration date
09/15/2006
Last updated
10/03/2011
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