Individual
ELIZABETH DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP
Contact information
Practice address
4425 S CENTRAL AVE, LOS ANGELES, CA 90011-3629
(323) 908-4200
Mailing address
14007 PALAWAN WAY APT 205, MARINA DEL REY, CA 90292-6269
(310) 578-1381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP19048
CA
Other
Enumeration date
12/12/2006
Last updated
06/19/2012
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