Individual provider · NPI-1

Susan B Medlicott, RNFA

Registered Nurse, Registered Nurse First Assistant · Torrance, CA

NPI number1972844256
StatusActive
Last updated in NPPESMar 11, 2013

Details

NPI
1972844256
Entity type
Individual (NPI-1)
Name
Ms. Susan B Medlicott
Credential
RNFA
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 11, 2013
Last updated
Mar 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WR0006X Registered Nurse, Registered Nurse First Assistant376842CAYes

Practice location

4101 Torrance Blvd
Torrance, CA 90503-4607

Phone 310-753-7898 · Fax 310-326-2717

Mailing address

23811 Vine Ave
Torrance, CA 90501-5957

Phone 310-753-7898 · Fax 310-326-2716

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