Individual
DEENA ABUYOUNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 E 4TH ST, LONG BEACH, CA 90814-1001
(562) 434-4455
(562) 433-6428
Mailing address
2017 E 4TH ST, LONG BEACH, CA 90814-1001
(562) 434-4455
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
953523149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PEER103
AGENCY #
CA
Enumeration date
02/24/2014
Last updated
02/24/2014
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