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1871244947
MICHELLE DE MARIA
WEST HOLLYWOOD, CA
NPI
1871244947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95019551)
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
MICHELLE DE MARIA ACNP
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048-1804
Phone number: 310-423-3277
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Mailing Address
MICHELLE DE MARIA ACNP
3750 BAGLEY AVE APT 102
LOS ANGELES, CA 90034-7402
Phone number: 619-339-0923
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