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Individual

MOOREA PUGLIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
13160 MINDANAO WAY STE 213, MARINA DEL REY, CA 90292-6358
(925) 282-1778
Mailing address
13160 MINDANAO WAY STE 213, MARINA DEL REY, CA 90292-6358
(925) 282-1778

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95104307
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028680
CA

Other

Enumeration date
02/07/2021
Last updated
11/06/2025
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