ELIZABETH KIDDE

LOS ANGELES, CA
NPI1487924643
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA  95000938)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: MA  RN264689)
Enumeration Date2012-01-05
Last Update Date2018-12-13
Business Address
ELIZABETH KIDDE CPNP
4650 W SUNSET BLVD # 54
LOS ANGELES, CA 90027-6062
Phone number: 323-361-5027
Mailing Address
ELIZABETH KIDDE CPNP
4650 W SUNSET BLVD # 54
LOS ANGELES, CA 90027-6062
Phone number: 323-361-5027