Most Relevant Information
Provider Data
| NPI Number: | 1003037466 |
| Provider Name: | ANTOINETTE ZARAGOZA NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | 266488 |
Most Important Dates
| Enumeration Date: | 05/02/2007 |
| Last Updated: | 04/04/2014 |
Provider Practice Location
245 S. FETTERLY AVE
ROYBAL COMPREHENSIVE CHC
LOS ANGELES
CA
900220000
Practice Location Phone/Fax
| Phone: | 3237802216 |
| Fax: |
Provider Mailing Location
245 S. FETTERLY AVE
ROYBAL COMPREHENSIVE CHC
LOS ANGELES
CA
900220000
Provider Mailing Phone/Fax
| Phone: | 3237802216 |
| Fax: |