Aqui, Princess Louise Viceral

Aqui, Princess Louise Viceral is an sole proprietor health care provider with primary practice located at 15519 Crenshaw Blvd , Gardena CA 90249-4525. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Aqui, Princess Louise Viceral can be contacted via phone (310) 679-9126.

Contact Information

Primary practice address
15519 Crenshaw Blvd Gardena CA 90249-4525
Phone: (310) 679-9126
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95018979 California

Profile Details

NPI number 1114682796
LBN Legal business name Aqui, Princess Louise Viceral
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2021
Last updated Jun 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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