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Individual

HODA M. SHAWKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PHN, MSN, CPNP

Contact information

Practice address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
Mailing address
1590D ROSECRANS AVE # 164, MANHATTAN BEACH, CA 90266-3707
(310) 725-5133

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
15859
CA

Other

Enumeration date
07/06/2007
Last updated
09/07/2011
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