Individual
DESIREE DALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3529 PINEHILL WAY, ANTELOPE, CA 95843-5511
(916) 850-9996
Mailing address
3529 PINEHILL WAY, ANTELOPE, CA 95843-5511
(916) 850-9996
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
248210
CA
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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