DANIELLE DENISE LONG

MONTCLAIR, CA
NPI1013739705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95031614)
Enumeration Date2024-10-25
Last Update Date2024-10-25
Business Address
DANIELLE DENISE LONG PMHNP
PO BOX 3181
MONTCLAIR, CA 91763-9281
Phone number: 424-571-2126
Mailing Address
DANIELLE DENISE LONG PMHNP
PO BOX 3181
MONTCLAIR, CA 91763-9281
Phone number: 213-258-9413
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