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Individual

DEBORAH WU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
750 N KINGS RD APT 316, WEST HOLLYWOOD, CA 90069-5909
(562) 964-4388
Mailing address
13037 MOZART WAY, CERRITOS, CA 90703-1378
(562) 964-4388

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95117735
CA
363L00000X
Nurse Practitioner
Primary
95014326
CA

Other

Enumeration date
10/19/2020
Last updated
10/19/2020
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