Individual
JUDY B WITTENBERG BRAVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11101 VENICE BLVD, LOS ANGELES, CA 90034-6914
(310) 840-5755
(310) 218-5484
Mailing address
843 MICHELTORENA ST, LOS ANGELES, CA 90026-2701
(323) 664-7971
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
S292576
CA
Other
Enumeration date
06/30/2008
Last updated
07/02/2012
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