Individual
DEZRA AMANDA SEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23700 CAMINO DEL SOL, TORRANCE, CA 90505-5000
(310) 784-2294
(310) 626-9304
Mailing address
23700 CAMINO DEL SOL, TORRANCE, CA 90505-5000
(310) 784-2294
(310) 626-9304
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
529236
CA
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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