Individual
CECILIA PANNELL-ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 LUKENS CT, FULLERTON, CA 92833-5063
(310) 261-7776
Mailing address
1330 LUKENS CT, FULLERTON, CA 92833-5063
(310) 261-7776
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006149
CA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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