MOONLIGHT ALAN

BURBANK, CA
NPI1245937036
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95023700)
Enumeration Date2023-02-13
Last Update Date2023-02-13
Business Address
MOONLIGHT ALAN
3808 W RIVERSIDE DR STE 407
BURBANK, CA 91505-5301
Phone number: 213-218-9245
Mailing Address
MOONLIGHT ALAN
945 N SERRANO AVE APT 113
LOS ANGELES, CA 90029-3274
Phone number: 213-422-9126
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