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Princess Louise Viceral Aqui
Psychiatric/Mental Health Nurse Practitioner in Gardena, California
NPI 1114682796

Princess Louise Viceral Aqui is a Psychiatric/Mental Health Nurse Practitioner based in Gardena, CA and is specialized in Psychiatric/Mental Health. Princess Louise Viceral Aqui practices in Gardena, CA. The NPI Number for Princess Louise Viceral Aqui is 1114682796 and holds a License No. 95018979 (California).

The current practice location address for Princess Louise Viceral Aqui is 15519 Crenshaw Blvd, Gardena, CA and can be reached out via phone at 310-679-9126.

Location: 15519 Crenshaw Blvd, Gardena, CA, 90249-4525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114682796
Provider Name
Princess Louise Viceral Aqui
Credential
Provider Entity Type
Individual
Gender
Female
Address
15519 Crenshaw Blvd, Gardena, CA, 90249-4525
Phone Number
310-679-9126
Fax Number
Provider Enumeration Date
11/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15519 Crenshaw Blvd
City
Gardena
State
California
Zip
90249-4525
Phone Number
310-679-9126
Fax Number
person
Provider Business Mailing Address Details
Address
15519 Crenshaw Blvd
City
Gardena
State
California
Zip
90249-4525
Phone Number
310-679-9126
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95018979 (California)
Definition
Definition to come...
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