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Individual

DENISE LAM MAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 396-7812
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185

Taxonomy

Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
95008068
CA
363LF0000X
Family Nurse Practitioner
Primary
95008068
CA

Other

Enumeration date
02/21/2018
Last updated
05/24/2021
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