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Individual

MRS. DONNA ELAINE FLORES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12450 VAN NUYS BLVD, SUITE 200, PACOIMA, CA 91331-1391
(818) 896-1161
(818) 896-5069
Mailing address
2533 ORANGE AVE, LA CRESCENTA, CA 91214-3038
(818) 248-1238

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
313962
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7068
CA
05
7420
CA
Enumeration date
10/28/2008
Last updated
05/28/2013
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