Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 95018953 | CA |
NPI | 1023180221 |
---|---|
Provider Name | Miss Veronica Lyn Arres |
First Address | Torrance, CA 90505-3025 |
Second Address | Culver City, CA 90232-6818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 05/01/2022 |