DAISY PROM

LOS ANGELES, CA
NPI1295428100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95025343)
Enumeration Date2023-05-29
Last Update Date2024-06-13
Business Address
DAISY PROM
1891 EFFIE ST
LOS ANGELES, CA 90026-1711
Phone number: 424-653-6697
Mailing Address
DAISY PROM
1891 EFFIE ST
LOS ANGELES, CA 90026-1711
Phone number: 424-653-6697
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