LOGAN WELLNESS ADVANCED NURSING PRACTICE CORP

NPI # 

Practice Address:

538 N Detroit St

Los Angeles, CA, 90036-1949

Practice Phone:

310-751-1080

Practice Fax:

844-941-1989

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Psychiatric/Mental Health

Taxonomy Code:

363LP0808X