Individual
ASHLEY NICOLE IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-4271
Mailing address
1430 3RD ST, MANHATTAN BEACH, CA 90266-6336
(310) 469-8841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95306065
CA
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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