Individual provider · Type 1 NPI

Ma Glenda Jatulan Ravas, NP

Family Nurse Practitioner · Los Angeles, CA

NPI number 1770123663 Active

Practice location

1680 E 120th St
Los Angeles, CA 90059-3026

Call (424) 338-8367 Map

Mailing address

4121 Cottonwood Cir
Lake Elsinore, CA 92530-2019

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	95013651 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1770123663

Ma Glenda Jatulan Ravas, NP's National Provider Identifier is 1770123663, issued on Jan 9, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 9, 2020.