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Individual

SHANIQA LATAVIA DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
3711 LONG BEACH BLVD STE 4081, LONG BEACH, CA 90807-3315
(310) 686-8088
Mailing address
9229 PACE AVE, LOS ANGELES, CA 90002-2110
(310) 686-8088

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033089
CA

Other

Enumeration date
12/18/2024
Last updated
12/18/2024
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