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KOLLEEN PARADISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
835 E. CALAVERAS ST., ALTADENA, CA 91001
(619) 405-2521
Mailing address
43 1/2 THORNTON AVE, VENICE, CA 90291-3110
(619) 405-2521

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3989
CA
367500000X
Certified Registered Nurse Anesthetist
RN60188819
WA

Other

Enumeration date
03/29/2010
Last updated
02/07/2012
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