Individual
MR. DIMETRIUS LAMONT FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
12440 IMPERIAL HWY STE 116, NORWALK, CA 90650-8347
(562) 651-5058
Mailing address
20118 WADLEY AVE, CARSON, CA 90746-3047
(310) 493-0977
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
737792
CA
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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