Individual
TRISH VANESSA WILLIAMS FORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 S SEPULVEDA BLVD STE 1100, LOS ANGELES, CA 90034-7090
(310) 881-2700
Mailing address
3415 S SEPULVEDA BLVD STE 1100, LOS ANGELES, CA 90034-7090
(310) 881-2700
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
829012
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019273
CA
Other
Enumeration date
08/28/2018
Last updated
12/04/2021
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