Individual
MRS. INOCENCIA DARIO NUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2311 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3315
(323) 241-6730
Mailing address
23216 AUDREY AVE, TORRANCE, CA 90505-3710
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
NP6019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WP0808X
—
CA
05
—
363LP0808X
—
CA
Enumeration date
12/13/2006
Last updated
07/09/2007
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