Debora Ivy, RN, BSN, PHN, CBIS | |
2070 Century Park E, Los Angeles, CA 90067-1907 | |
(714) 887-4997 | |
Not Available |
Full Name | Debora Ivy |
---|---|
Gender | Female |
Speciality | Registered Nurse - Rehabilitation |
Location | 2070 Century Park E, Los Angeles, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730843624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC1500X | Registered Nurse - Community Health | 562534 (California) | Secondary |
163WR0400X | Registered Nurse - Rehabilitation | 95260258 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Debora Ivy, RN, BSN, PHN, CBIS 4402 Mammoth Ave Apt 5, Sherman Oaks, CA 91423-3649 Ph: (714) 887-4997 | Debora Ivy, RN, BSN, PHN, CBIS 2070 Century Park E, Los Angeles, CA 90067-1907 Ph: (714) 887-4997 |
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