Individual
JUSTINA ELEMACHI DENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14659 OLIVE VIEW DR, SYLMAR, CA 91342-1652
(818) 485-0867
Mailing address
14659 OLIVE VIEW DR, SYLMAR, CA 91342-1652
(818) 485-0867
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95112346
CA
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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