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Individual

ROBERTA FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
300 MEDICAL PLAZA, LOS ANGELES, CA 90095-0001
(310) 825-9989
Mailing address
FILE 2939, LOS ANGELES, CA 90074-0001

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
267237
CA
364S00000X
Clinical Nurse Specialist
Primary
CNS1648
CA

Other

Enumeration date
07/30/2007
Last updated
10/12/2007
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