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1093402000
DIANNA AMY DOVE DIRESS
CULVER CITY, CA
NPI
1093402000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 604342)
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
DIANNA AMY DOVE DIRESS
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
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Mailing Address
DIANNA AMY DOVE DIRESS
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
Copy
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