NPI Profile for AMY S VAN DUSEN in HERMOSA BEACH, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthopedic |
163WX0800X |
| NPI # | 1912589482 |
|
| Status | Active | |
| Credentials | RN, NBC-HWC | |
| Entity | Individual | |
| Enumeration date | 04/24/2021 | |
| Last updated | 04/24/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AMY S VAN DUSEN
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