Individual
DEANNAH DOUGLAS-MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4822 S WESTERN AVE, LOS ANGELES, CA 90062-2324
(562) 688-4994
Mailing address
5250 W CENTURY BLVD STE 206, LOS ANGELES, CA 90045-5946
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
711368
CA
227800000X
Certified Respiratory Therapist
E2438910
CA
253Z00000X
In Home Supportive Care Agency
—
—
314000000X
Skilled Nursing Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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