MARY ALICE MODDERS

LOS ANGELES, CA
NPI1215241682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  19349)
Enumeration Date2010-07-28
Last Update Date2011-04-21
Business Address
Mrs. MARY ALICE MODDERS FNP
8635 W 3RD ST SUITE 795
LOS ANGELES, CA 90048-6101
Phone number: 310-423-8350
Mailing Address
Mrs. MARY ALICE MODDERS FNP
8635 W 3RD ST SUITE 795
LOS ANGELES, CA 90048-6101
Phone number: 310-423-8350