TERYL KIRSTEN NUCKOLS

LOS ANGELES, CA
NPI1184646622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A67775)
Enumeration Date2006-07-24
Last Update Date2010-07-13
Business Address
-- TERYL KIRSTEN NUCKOLS md
200 MEDICAL PLAZA #365,530,420,120
LOS ANGELES, CA 90095
Phone number: 310-825-6301
Mailing Address
-- TERYL KIRSTEN NUCKOLS md
5767 W CENTURY BLVD SUITE 200
LOS ANGELES, CA 90045-5632
Phone number: 310-794-3934
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