SHANIQA LATAVIA DANIEL

LONG BEACH, CA
NPI1750199105
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95033089)
Enumeration Date2024-12-18
Last Update Date2024-12-18
Business Address
SHANIQA LATAVIA DANIEL PMHNP
3711 LONG BEACH BLVD STE 4081
LONG BEACH, CA 90807-3315
Phone number: 310-686-8088
Mailing Address
SHANIQA LATAVIA DANIEL PMHNP
9229 PACE AVE
LOS ANGELES, CA 90002-2110
Phone number: 310-686-8088
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