person
Ivy Lee De Quiros, NURSEPRACTITIONER
Family Nurse Practitioner in Los Angeles, California
NPI 1831442763

Ivy Lee De Quiros is a Family Nurse Practitioner based in Los Angeles, CA and is specialized in Family. Ivy Lee De Quiros practices in Los Angeles, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Ivy Lee De Quiros is 1831442763 and holds a License No. 21742 (California).

The current practice location address for Ivy Lee De Quiros is 1200 N State St, Los Angeles, CA and can be reached out via phone at 323-226-2622.

Location: 1200 N State St, Los Angeles, CA, 90033-1029
person
Provider Profile Details
NPI Number
1831442763
Provider Name
Ivy Lee De Quiros
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1200 N State St, Los Angeles, CA, 90033-1029
Phone Number
323-226-2622
Fax Number
Provider Enumeration Date
10/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1200 N State St
City
State
Zip
90033-1029
Phone Number
323-226-2622
Fax Number
person
Provider Business Mailing Address Details
Address
1200 N State St
City
State
Zip
90033-1029
Phone Number
323-226-2622
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
21742 (California)
Definition
Definition to come...
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