Individual
DENISE LASELLE MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44505 90TH ST W, LANCASTER, CA 93536-7705
(661) 726-2630
Mailing address
3204 E AVENUE H10, LANCASTER, CA 93535-2402
(660) 916-6090
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-HVZNXO
CA
Other
Enumeration date
10/21/2024
Last updated
05/07/2025
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