PRINCESS LOUISE VICERAL AQUI

GARDENA, CA
NPI1114682796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95018979)
Enumeration Date2021-11-08
Last Update Date2022-06-07
Business Address
PRINCESS LOUISE VICERAL AQUI
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9126
Mailing Address
PRINCESS LOUISE VICERAL AQUI
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9126
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