Holly Fall NP

NPI 1063634095 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1063634095
Gender Female
Enumeration Date 05/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
16007 CRENSHAW BLVD
STUDENT HEALTH SERVICES
TORRANCE CA, 90506-0001, US
Phone (310) 660-6417
Fax (310) 660-3828
Business Location
1747 HERRIN ST
REDONDO BEACH CA, 90278-2827, US
Phone (310) 379-9592
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State California
License Number 293822
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According to our database, Holly Fall NP NPI is 1063634095, taxonomy code is 363LA2200X and license number is 293822, license state is located at California. Holly Fall NP physically located at 16007 Crenshaw Blvd, Torrance CA, 90506-0001. NPI Number Holly Fall NP has the Individual type.

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1063634095 NPI number is provided on an as is basis without warranty of any kind. 1063634095 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Fall NP are for informational purposes only.