Individual
ANNETTE DORIA LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 938-7650
Mailing address
623 N VOGUE AVE, COVINA, CA 91722-3527
(626) 858-9938
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
453883
CA
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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