Individual
GISELLE TAMULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1301 20TH ST STE 150, SANTA MONICA, CA 90404-2050
(310) 582-7433
(310) 582-7495
Mailing address
2125 ARIZONA AVE, SANTA MONICA, CA 90404-1337
(310) 582-7433
(310) 582-7495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95006195
CA
Other
Enumeration date
07/28/2017
Last updated
04/20/2021
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