Individual
DAWN DENISE DEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12900 PARK PLAZA DR, # 150, CERRITOS, CA 90703-9329
(866) 646-3553
Mailing address
12900 PARK PLAZA DR, # 150, CERRITOS, CA 90703-9329
(866) 646-3553
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
18869
CA
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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