Individual
EMME LAN P DIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BRN
Contact information
Practice address
524 COLSTON AVE, LA PUENTE, CA 91744-6013
(626) 899-7369
Mailing address
524 COLSTON AVE, LA PUENTE, CA 91744-6013
(626) 899-7369
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95239785
CA
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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