Raquel N Green-walls RNP

NPI 1164518056 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1164518056
Gender Female
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1920 MARENGO ST
LOS ANGELES CA, 90033-1317, US
Phone (323) 223-4462
Fax (323) 225-5844
Business Location
1920 MARENGO ST
LOS ANGELES CA, 90033-1317, US
Phone (323) 223-4462
Fax (323) 225-5844
Toxanomy
Taxonomy Code 363L00000X
License State California
License Number RN543974
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According to our database, Raquel N Green-walls RNP NPI is 1164518056, taxonomy code is 363L00000X and license number is RN543974, license state is located at California. Raquel N Green-walls RNP physically located at 1920 Marengo St, Los Angeles CA, 90033-1317. NPI Number Raquel N Green-walls RNP has the Individual type.

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1164518056 NPI number is provided on an as is basis without warranty of any kind. 1164518056 is maintained by the National Plan & Provider Enumeration System. The contents of Raquel N Green-walls RNP are for informational purposes only.