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Individual

PATRICIA ILUORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5525 ETIWANDA AVE STE 320, TARZANA, CA 91356-6130
(818) 774-3838
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(818) 774-3838
(818) 774-3839

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95015864
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
95015864
CA
363LG0600X
Gerontology Nurse Practitioner
95015864
CA
364SA2200X
Adult Health Clinical Nurse Specialist
4894
CA
364SG0600X
Gerontology Clinical Nurse Specialist
4894
CA

Other

Enumeration date
11/18/2020
Last updated
12/23/2020
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