Individual
MS. DESIREE CELINA TRIAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1937
(310) 966-6500
Mailing address
2236 W CORAK ST, WEST COVINA, CA 91790-5613
(626) 824-4534
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95068854
CA
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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