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Individual

DONARA GASANOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
14860 ROSCOE BLVD STE 307, PANORAMA CITY, CA 91402-4691
(747) 998-0387
(747) 201-4700
Mailing address
14860 ROSCOE BLVD STE 307, PANORAMA CITY, CA 91402-4691
(747) 998-0387
(747) 201-4700

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN722878
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95018451
CA

Other

Enumeration date
06/28/2011
Last updated
09/22/2022
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