Individual
MAYRA LISETTE OSUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-8675
Mailing address
5241 DEL ESTE CIR, LA PALMA, CA 90623-2205
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
95009366
CA
Other
Enumeration date
07/06/2018
Last updated
04/07/2022
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