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Theresa Edun, NP
Adult Health Nurse Practitioner in Carson, California
NPI 1477965754

Theresa Edun is an Adult Health Nurse Practitioner based in Carson, CA and is specialized in Adult Health. Theresa Edun practices in Carson, CA and has the professional credentials of NP. The NPI Number for Theresa Edun is 1477965754 and holds a License No. AG95000660 (California).

The current practice location address for Theresa Edun is 18208 Coltman Ave, Carson, CA and can be reached out via phone at 310-484-4003.

Location: 18208 Coltman Ave, Carson, CA, 90746-1736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477965754
Provider Name
Theresa Edun
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
18208 Coltman Ave, Carson, CA, 90746-1736
Phone Number
310-484-4003
Fax Number
Provider Enumeration Date
05/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18208 Coltman Ave
City
Carson
State
California
Zip
90746-1736
Phone Number
310-484-4003
Fax Number
person
Provider Business Mailing Address Details
Address
18208 Coltman Ave
City
Carson
State
California
Zip
90746-1736
Phone Number
310-484-4003
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
AG95000660 (California)
Definition
Definition to come...
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