Individual
MRS. THERESA DOMPREH-MENSAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
561 E 2ND AVE, LA HABRA, CA 90631-0820
(562) 774-6297
Mailing address
561 E 2ND AVE, LA HABRA, CA 90631-0820
(562) 774-6297
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306005743
CA
311500000X
Alzheimer Center (Dementia Center)
306005743
CA
315D00000X
Inpatient Hospice
306005743
CA
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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