Individual
MARIA REYDA ROXAS FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23700 CAMINO DEL SOL, TORRANCE, CA 90505-5000
(310) 530-1151
(310) 534-0473
Mailing address
23700 CAMINO DEL SOL, TORRANCE, CA 90505-5000
(310) 530-1151
(310) 534-0473
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
806495
CA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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