person
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
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
State
Zip
90249-4525
Phone Number
310-679-9126
Fax Number
person
Provider Business Mailing Address Details
Address
15519 Crenshaw Blvd
City
State
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
License No.
95018979 (California)
Definition
Definition to come...
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