TERESA KANIS VENCILL

WEST HOLLYWOOD, CA
NPI1871702456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  NP23445)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: FL  9205530)
Enumeration Date2007-05-21
Last Update Date2025-09-12
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
4140 W 190TH ST
TORRANCE, CA 90504-5513
Phone number: 310-423-6500