Individual
PHYLLIS L. DEMONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1050 LINDEN AVE, LONG BEACH, CA 90813-3321
(562) 491-9761
(562) 491-9264
Mailing address
1050 LINDEN AVE, LONG BEACH, CA 90813-3321
(562) 491-9761
(562) 491-9264
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
NP18591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP18591
NP LICENSE
CA
Enumeration date
07/17/2010
Last updated
07/17/2010
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