Individual
DESIREE ANGELICA DEMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14515 HAMLIN ST, VAN NUYS, CA 91411-1608
(818) 989-7475
Mailing address
14728 GILMORE ST APT 2, VAN NUYS, CA 91411-1511
(818) 270-6010
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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