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NPI Code Detail

MEDICARE: CHARMANE HENRY-DAIGLE RN

MEDICARE: CHARMANE HENRY-DAIGLE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse525605CA
2390200000XStudent in an Organized Health Care Education/Training Program525605CA
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)525605CA

General Provider Information

NPI Number : 1558440461
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARMANE HENRY-DAIGLE RN
Provider Business Mailing Address
First Line : 11705 S ALAMEDA ST
Second Line : DMH
City : LYNWOOD
State : CA
Zip : 90262-4023
Country : US
Telephone Number : 323-568-4678
Fax Number :
Provider Business Practice Location Address
First Line : 11705 S ALAMEDA ST
Second Line : DMH
City : LYNWOOD
State : CA
Zip : 90262-4023
Country : US
Telephone Number : 323-568-4678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 03/28/2011

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Directions to “ CHARMANE HENRY-DAIGLE RN” Practice Location

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