Individual
DEENA SHERIF KHAMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2271 E PALMDALE BLVD STE E, PALMDALE, CA 93550-1340
(661) 538-9922
Mailing address
2271 E PALMDALE BLVD STE E, PALMDALE, CA 93550-1340
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95026085
CA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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