Individual
INAS ANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1610 MONTANA AVE STE A, SANTA MONICA, CA 90403-1808
(310) 806-0959
(310) 453-6990
Mailing address
1610 MONTANA AVE STE A, SANTA MONICA, CA 90403-1808
(310) 806-0959
(310) 453-6990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN461744
CA
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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