Individual
CHARMANE HENRY-DAIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11705 S ALAMEDA ST, DMH, LYNWOOD, CA 90262-4023
(323) 568-4678
Mailing address
11705 S ALAMEDA ST, DMH, LYNWOOD, CA 90262-4023
(323) 568-4678
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
525605
CA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
525605
CA
390200000X
Student in an Organized Health Care Education/Training Program
525605
CA
Other
Enumeration date
11/02/2006
Last updated
03/28/2011
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