Individual
SEETA STACIE NANOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18546 ROSCOE BLVD, NORTHRIDGE, CA 91324-4663
(818) 858-0408
Mailing address
9733 1/2 REGENT ST, LOS ANGELES, CA 90034-5105
(310) 819-2485
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95007940
CA
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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