person
Theodora Gore, NURSEPRACTIONER
Psychiatric/Mental Health Registered Nurse in Los Angeles, California
NPI 1689897902

Theodora Gore is a Psychiatric/Mental Health Registered Nurse based in Redondo Beach, CA and is specialized in Psychiatric/Mental Health. Theodora Gore practices in Los Angeles, CA and has the professional credentials of NURSEPRACTIONER. The NPI Number for Theodora Gore is 1689897902 and holds a License No. RN522355 (California).

The current practice location address for Theodora Gore is 4650 W Sunset Blvd # 53, Los Angeles, CA and can be reached out via phone at 323-361-7730.

Location: 4650 W Sunset Blvd # 53, Los Angeles, CA, 90278
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Provider Profile Details
NPI Number
1689897902
Provider Name
Theodora Gore
Credential
NURSEPRACTIONER
Provider Entity Type
Individual
Gender
Female
Address
4650 W Sunset Blvd # 53, Los Angeles, CA, 90278
Phone Number
323-361-7730
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4650 W Sunset Blvd # 53
City
State
Zip
90027-6062
Phone Number
323-361-7730
Fax Number
person
Provider Business Mailing Address Details
Address
4650 W Sunset Blvd # 53
City
State
Zip
90027-6062
Phone Number
323-361-7730
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN522355 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
RN522355 (California)
Definition
Definition to come...
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