Individual
GABRIELLA DIEDRE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 S ANITA DR # 102-104, ORANGE, CA 92868-3355
(714) 410-3500
Mailing address
265 S ANITA DR STE 100, ORANGE, CA 92868-3335
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95265400
CA
Other
Enumeration date
02/01/2013
Last updated
08/10/2022
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