Individual
DENNIS CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
16111 PLUMMER ST, MAIL CODE OPR, SEPULVEDA, CA 91343-2036
(818) 891-7711
(818) 895-9452
Mailing address
15109 BLACKHAWK ST, MISSION HILLS, CA 91345-2503
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN 543691,NP 11711
CA
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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