Individual
MRS. DESIREE PUGEDA PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 CRESTRIDGE RD, RANCHO PALOS VERDES, CA 90275-4962
(310) 377-9977
Mailing address
3806 NEWTON ST, TORRANCE, CA 90505-6421
(310) 373-4439
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT 3577
CA
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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