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Daisy Prom
Psychiatric/Mental Health Nurse Practitioner in Temple City, California
NPI 1295428100

Daisy Prom is a Psychiatric/Mental Health Nurse Practitioner based in Temple City, CA and is specialized in Psychiatric/Mental Health. Daisy Prom practices in Temple City, CA. The NPI Number for Daisy Prom is 1295428100 and holds a License No. 95025343 (California).

The current practice location address for Daisy Prom is 5033 Pal Mal Ave, Temple City, CA and can be reached out via phone at 626-297-4048.

Location: 5033 Pal Mal Ave, Temple City, CA, 91780-3432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295428100
Provider Name
Daisy Prom
Credential
Provider Entity Type
Individual
Gender
Female
Address
5033 Pal Mal Ave, Temple City, CA, 91780-3432
Phone Number
626-297-4048
Fax Number
Provider Enumeration Date
05/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5033 Pal Mal Ave
City
Temple City
State
California
Zip
91780-3432
Phone Number
626-297-4048
Fax Number
person
Provider Business Mailing Address Details
Address
5033 Pal Mal Ave
City
Temple City
State
California
Zip
91780-3432
Phone Number
626-297-4048
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95025343 (California)
Definition
Definition to come...
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