Individual
AMY SHEPARDSON VAN DUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NBC-HWC
Contact information
Practice address
567 24TH PL, HERMOSA BEACH, CA 90254-2608
(310) 994-0735
Mailing address
567 24TH PL, HERMOSA BEACH, CA 90254-2608
(310) 994-0735
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
400575
CA
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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