Individual
BROOKE MCKENNA RIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CNM
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95022708
CA
367A00000X
Advanced Practice Midwife
236307
CA
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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