Individual
MISS GLORIA VANESSA NAKYEYUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
757 WESTWOOD PLZ STE 3325, LOS ANGELES, CA 90095-2286
(310) 267-8626
(310) 267-3899
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128737
—
CA
Enumeration date
11/07/2019
Last updated
12/06/2024
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