Individual
MRS. VERONICA MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20800 SHERMAN WAY, WINNETKA, CA 91306-2707
(818) 883-2273
Mailing address
20800 SHERMAN WAY, WINNETKA, CA 91306-2707
(818) 883-2273
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95004115
CA
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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