Individual provider · NPI-1

Ruth A Aboiralor

Nurse Practitioner, Family · Los Angeles, CA

NPI number1417468158
StatusActive
Last updated in NPPESOct 20, 2017

Details

NPI
1417468158
Entity type
Individual (NPI-1)
Name
Mrs. Ruth A Aboiralor
Sex
Female
Sole proprietor
No
Enumeration date
Oct 20, 2017
Last updated
Oct 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95005573CAYes

Practice location

12900 Avalon Blvd
Los Angeles, CA 90061-2734

Phone 310-483-8411

Mailing address

13508 Purche Ave
Gardena, CA 90249-2331

Phone 310-483-8411

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