Most Relevant Information
Provider Data
| NPI Number: | 1003668138 |
| Provider Name: | KENT ELIAS PERTTULA NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95018766 |
Most Important Dates
| Enumeration Date: | 04/02/2024 |
| Last Updated: | 04/02/2024 |
Provider Practice Location
38600 MEDICAL CENTER DR
PALMDALE
CA
935514483
Practice Location Phone/Fax
| Phone: | 8053383282 |
| Fax: |
Provider Mailing Location
38600 MEDICAL CENTER DR
PALMDALE
CA
935514483
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |