Individual
LARISSA RUANO CELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, GNP, GCNS
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-2040
Mailing address
624 E 222ND ST, CARSON, CA 90745-3247
(310) 806-5206
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP20963
CA
364SG0600X
Gerontology Clinical Nurse Specialist
CNS3629
CA
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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