Individual
ASIA CAMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12440 IMPERIAL HWY, 116, NORWALK, CA 90650-3177
(562) 651-5059
Mailing address
3625 EASY AVE, LONG BEACH, CA 90810-2224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
635583
CA
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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