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Individual

CHIUSHEUE SHERRY PENG

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
1500 SAN PABLO ST, CARDIACTHORACIC SUGERY UNIT, LOS ANGELES, CA 90033-5313
(323) 442-8869
Mailing address
4040 VIA MARISOL, #321, LOS ANGELES, CA 90042-5154
(323) 224-6982

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP15174
CA

Other

Enumeration date
08/10/2005
Last updated
07/08/2007
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