Individual provider · Type 1 NPI
Princess Louise Viceral Aqui
Psychiatric/Mental Health Nurse Practitioner · Gardena, CA
NPI number
1114682796
Active
Practice location
15519 Crenshaw Blvd
Gardena, CA 90249-4525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95018979 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114682796
Princess Louise Viceral Aqui's National Provider Identifier is 1114682796, issued on Nov 8, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gardena, CA. The record was last updated on Jun 7, 2022.