Individual
DARRYL DE LOS ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8016 PASO ROBLES AVE, LAKE BALBOA, CA 91406-1124
(310) 691-9146
Mailing address
8016 PASO ROBLES AVE, LAKE BALBOA, CA 91406-1124
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
4457
CA
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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