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1851999718
LA CREASURE WHITE
MARINA DEL REY, CA
NPI
1851999718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95015641)
Enumeration Date
2020-10-13
Last Update Date
2021-09-07
Business Address
LA CREASURE WHITE NP-C
4640 ADMIRALTY WAY
MARINA DEL REY, CA 90292-6621
Phone number: 888-880-3451
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Mailing Address
LA CREASURE WHITE NP-C
4640 ADMIRALTY WAY
MARINA DEL REY, CA 90292-6621
Phone number: 888-880-3451
Copy
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