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DEVITA ELSA DIMPUDUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
461 TENNESSEE ST STE C, REDLANDS, CA 92373-8161
(909) 475-7371
(855) 233-7921
Mailing address
25925 BARTON ROAD UNIT 134, LOMA LINDA, CA 92354
(269) 240-3486

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032404
CA

Other

Enumeration date
03/05/2025
Last updated
03/05/2025
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