Individual
DEAREST IDEHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10953 RAMONA BLVD, EL MONTE, CA 91731-2629
(626) 434-2595
Mailing address
10953 RAMONA BLVD, EL MONTE, CA 91731-2629
(626) 434-2595
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
95067057
CA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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