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Monique Tka Onica Tyrell

Nurse Practitioner, Family in West Hollywood, CA. Individual provider (NPI-1).

NPI number1699420331
StatusActive
Last updated in NPPESFeb 21, 2022

Details

NPI
1699420331
Entity type
Individual (NPI-1)
Name
Monique Tka Onica Tyrell
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 21, 2022
Certification date
Feb 21, 2022
Last updated
Feb 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95016448CAYes

Practice location

8700 Beverly Blvd # 2900a
West Hollywood, CA 90048-1804

Phone 310-227-1382

Mailing address

8700 Beverly Blvd # 2900a
West Hollywood, CA 90048-1804

Phone 310-423-3277

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