Prescillia Miandabo Tshiamala FNP-BC

NPI 1043455140 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1043455140
Gender Female
Enumeration Date 12/04/2008
Last Updated 12/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3834 S WESTERN AVE
LOS ANGELES CA, 90062-1104, US
Phone (323) 730-1920
Fax
Business Location
609 N MAR VISTA AVE
APARTMENT 5
PASADENA CA, 91106-4908, US
Phone (734) 904-1935
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State California
License Number 18627
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According to our database, Ms. Prescillia Miandabo Tshiamala FNP-BC NPI is 1043455140, taxonomy code is 363LF0000X and license number is 18627, license state is located at California. Prescillia Miandabo Tshiamala FNP-BC physically located at 3834 S Western Ave, Los Angeles CA, 90062-1104. NPI Number Prescillia Miandabo Tshiamala FNP-BC has the Individual type.

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1043455140 NPI number is provided on an as is basis without warranty of any kind. 1043455140 is maintained by the National Plan & Provider Enumeration System. The contents of Prescillia Miandabo Tshiamala FNP-BC are for informational purposes only.