Individual
MS. SUSAN B MEDLICOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 753-7898
(310) 326-2717
Mailing address
23811 VINE AVE, TORRANCE, CA 90501-5957
(310) 753-7898
(310) 326-2716
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
376842
CA
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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