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Individual

MS. ANNETTE WEST DEGANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
3125 E 7TH ST, LONG BEACH, CA 90804-4932
(562) 439-7755
(562) 438-6891
Mailing address
3125 E 7TH ST, LONG BEACH, CA 90804-4932
(562) 439-7755
(562) 438-6891

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RN319607
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190077CN
CA
Enumeration date
06/25/2008
Last updated
06/25/2008
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