Individual
DAISY DALLANA GARCIA-AMEZOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(714) 860-0159
Mailing address
1840 W OAK AVE, FULLERTON, CA 92833-3728
(714) 860-0159
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00851980
CA
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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