Individual
MRS. DIOMONIQUE SHERELL MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1527 W 49TH ST, LOS ANGELES, CA 90062-2413
(310) 924-4103
Mailing address
1527 W 49TH ST, LOS ANGELES, CA 90062-2413
(310) 924-4103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
844352
CA
Other
Enumeration date
08/22/2018
Last updated
11/19/2022
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