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1396364048
DESSERE GIVERTZ
SANTA MONICA, CA
NPI
1396364048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 59343)
Enumeration Date
2020-04-13
Last Update Date
2023-02-14
Business Address
DESSERE GIVERTZ
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404-2303
Phone number: 310-829-5511
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Mailing Address
DESSERE GIVERTZ
10155 N EDGEWOOD DR
FRESNO, CA 93720-3423
Phone number:
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