THEODORA GORE

LOS ANGELES, CA
NPI1689897902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  RN522355)
Additional Taxonomies363LW0102X Nurse Practitioner, Women's Health
(Licence: CA  RN522355)
Enumeration Date2007-04-11
Last Update Date2017-10-11
Business Address
THEODORA GORE NURSE PRACTIONER
4650 W SUNSET BLVD # 53
LOS ANGELES, CA 90027-6062
Phone number: 323-361-7730
Mailing Address
THEODORA GORE NURSE PRACTIONER
1814 ARMOUR LANE
REDONDO BEACH, CA 90278
Phone number: 310-379-2106