Individual
GLORIA DACANAY LAROCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2414
(323) 265-5037
Mailing address
10166 MENDIBURU RD, CALIFORNIA CITY, CA 93505-1431
(314) 629-9819
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
643446
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
64643446
CA
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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