Individual
DEZY MANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1135 S SUNSET AVE STE 401, WEST COVINA, CA 91790-3921
(626) 732-8393
Mailing address
13193 CENTRAL AVE STE 220, CHINO, CA 91710-4179
(909) 591-0843
(909) 591-7226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95017420
CA
Other
Enumeration date
05/26/2021
Last updated
02/01/2024
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