Individual
ALISON DALE NEYMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
17111 CLEMONS DR, ENCINO, CA 91436-4025
(818) 501-4097
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
570078
CA
363L00000X
Nurse Practitioner
Primary
15095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15095
NURSE PRACTITIONER LICENS
CA
Enumeration date
08/29/2006
Last updated
07/12/2007
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