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1447865860
ELYSSA BANGUNAN RIVERO
WEST HOLLYWOOD, CA
NPI
1447865860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95008275)
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
ELYSSA BANGUNAN RIVERO Nurse Practitioner
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048-1804
Phone number: 310-423-6276
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Mailing Address
ELYSSA BANGUNAN RIVERO Nurse Practitioner
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048-1804
Phone number:
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