Individual
ALICIA DANIELLE MONAZZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4067 TWEEDY BLVD, SOUTH GATE, CA 90280-6146
(323) 569-1126
Mailing address
16215 WAYFARER LN, HUNTINGTON BEACH, CA 92649-2149
(805) 441-4057
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95011373
CA
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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