Individual
DENISE CORENE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(442) 242-1866
(760) 725-1515
Mailing address
1090 VIA UNIDOS, FALLBROOK, CA 92028-3552
(760) 685-5239
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
530250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00109002
COMMISSION OF CASE MANAGER CERTIFICATION
—
01
—
530250
CA BOARD OF REGISTERED NURSES
CA
Enumeration date
10/25/2021
Last updated
10/25/2021
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