Individual
MARIA FRANCESCA LARISSA ANSELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2020 SANTA MONICA BLVD STE 600, SANTA MONICA, CA 90404-2131
(310) 829-5471
Mailing address
12629 RIVERSIDE DR APT 252, VALLEY VILLAGE, CA 91607-3482
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95018572
CA
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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