Individual
KENIA I. MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2193 W 27TH ST, LOS ANGELES, CA 90018-3083
(323) 470-2675
Mailing address
2193 W 27TH ST, LOS ANGELES, CA 90018-3083
(323) 470-2675
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95217988
CA
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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