Individual
JAMES DARYL SIMEON VIADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, PMHNP-BC
Contact information
Practice address
1746 ABBOT KINNEY BLVD, VENICE, CA 90291-4839
(310) 945-2734
Mailing address
1746 ABBOT KINNEY BLVD, VENICE, CA 90291-4839
(310) 945-2734
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030642
CA
Other
Enumeration date
07/31/2024
Last updated
10/21/2024
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