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Provider Information for 1831745330


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DAUN'NE MONIQUE LAND


Sex: Female

NPI: 1831745330
Last Updated: 2022-06-14
Certification Date: 2022-06-14

Details

NameValue
NPI1831745330
Enumeration Date2019-08-12
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 8019 COMPTON AVE
LOS ANGELES, CA 90001-3409
United States

Phone: 323-586-7333 | Fax:
 
Primary Practice Address 8019 COMPTON AVE
LOS ANGELES, CA 90001-3409
United States

Phone: 323-586-7333 | Fax:
 
Secondary Practice Address(es)

11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
United States

Phone: 562-777-7500 | Fax:
 

184 N IVY AVE
MONROVIA, CA 91016-2220
United States

Phone: 626-357-0957 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CA114567