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1588014476
RENI ROY MATHEW
LOS ANGELES, CA
NPI
1588014476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95004073)
Enumeration Date
2016-06-21
Last Update Date
2016-06-21
Business Address
Mrs. RENI ROY MATHEW NP
4059 E OLYMPIC BLVD
LOS ANGELES, CA 90023-3330
Phone number: 323-881-2615
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Mailing Address
Mrs. RENI ROY MATHEW NP
9810 LEWIS AVE
FOUNTAIN VALLEY, CA 92708-5818
Phone number: 714-679-5830
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