Individual
MISS KATHLEEN MARY O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095-8344
(310) 794-5796
Mailing address
847 ALANDELE AVE, LOS ANGELES, CA 90036-4638
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
591244
CA
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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