BRENDA ANN DACOSTA

LOS ANGELES, CA
NPI1063567345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  11432)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
Mrs. BRENDA ANN DACOSTA NP
5850 S MAIN ST
LOS ANGELES, CA 90003-1215
Phone number: 323-846-4265
Mailing Address
Mrs. BRENDA ANN DACOSTA NP
490 PINE AVE APT 408-P
LONG BEACH, CA 90802-2386
Phone number: 562-432-0410