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Individual

DORIS BENOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 822-9983
Mailing address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
510781
CA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
3479
CA

Other

Enumeration date
04/09/2020
Last updated
04/09/2020
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