TERESA KANIS VENCILL

WEST HOLLYWOOD, CA
NPI1871702456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  9205530)
Enumeration Date2007-05-21
Last Update Date2014-09-26
Business Address
Mrs. TERESA KANIS VENCILL ARNP
8700 BEVERLY BLVD MARK TAPER IMAGING #1258
WEST HOLLYWOOD, CA 90048-1804
Phone number: 310-877-6686
Mailing Address
Mrs. TERESA KANIS VENCILL ARNP
7838 W MANCHESTER AVE APT # 6
PLAYA DEL REY, CA 90293-8429
Phone number:
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