Individual
BEA ZERGIELLANE DAVID JAIME-LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7765 LEEDS ST, DOWNEY, CA 90242-3489
(858) 336-3081
Mailing address
14619 LA FONDA DR, LA MIRADA, CA 90638-4021
(714) 624-6401
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95071652
CA
Other
Enumeration date
01/07/2022
Last updated
02/13/2025
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