Individual
LINA TSEGAYE WOLDEMARIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1703 TERMINO AVE STE 203, LONG BEACH, CA 90804-2128
(562) 961-3137
Mailing address
3740 SANTA ROSALIA DR APT 406, LOS ANGELES, CA 90008-3625
(909) 461-0338
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95008685
CA
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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