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Individual

HLAHLA MYET THWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 N PEPPER AVE, COLTON, CA 92324-1819
(909) 580-6333
Mailing address
30 CANTERBURY DR, NORTHRIDGE, CA 91324-3603
(818) 268-5543

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95015105
CA

Other

Enumeration date
11/05/2020
Last updated
11/05/2020
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