Individual
EMILY DICECCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 E 28TH ST STE 419, LONG BEACH, CA 90806-2775
(562) 490-9900
Mailing address
701 E 28TH ST STE 419, LONG BEACH, CA 90806-2775
(562) 490-9900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95019050
CA
Other
Enumeration date
12/08/2021
Last updated
12/14/2021
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