Individual
DOROTHA LEE SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6023
(323) 846-4410
Mailing address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6023
(323) 846-4410
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN503189
CA
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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