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Dianna Amy Dove Diress

Registered Nurse, Psych/Mental Health in Culver City, CA. Individual provider (NPI-1).

NPI number1093402000
StatusActive
Last updated in NPPESApr 19, 2023

Details

NPI
1093402000
Entity type
Individual (NPI-1)
Name
Dianna Amy Dove Diress
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 19, 2023
Certification date
Apr 19, 2023
Last updated
Apr 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0808X Registered Nurse, Psych/Mental Health604342CAYes

Practice location

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818

Phone 310-945-3350

Mailing address

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818

Phone 310-945-3350

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