Individual
ADDIE CLAIRE GONWA RAMONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2744 S COAST HWY, LAGUNA BEACH, CA 92651-3902
(907) 321-0095
Mailing address
2744 S COAST HWY, LAGUNA BEACH, CA 92651-3902
(907) 321-0095
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95031090
CA
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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