Individual
MRS. LORETTA JOAN MC COLLUM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNP-CNP
Contact information
Practice address
7107 REMMET AVE, CANOGA PARK, CA 91303-2016
(818) 340-3570
(818) 702-9578
Mailing address
1172 N MACLAY AVE, SAN FERNANDO, CA 91340-1328
(818) 898-1388
(818) 365-4031
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
7615
CA
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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