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Organization
MEDI-CURE HEALTH SERVICES, INC
Active
Organization
MEDI-CURE HEALTH SERVICES, INC
Active
Other names
Palomares Academy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPHINE C. KANNIKE-MARTINS PHD., RD (CEO/EXECUTIVE DIRECTOR)
(323) 295-1136
Entity
Organization
Contact information
Practice address
2211 N ORANGE GROVE AVE, POMONA, CA 91767-2319
(323) 295-1136
(323) 195-1136
Mailing address
3756 SANTA ROSALIA DR, 417, LOS ANGELES, CA 90008-3606
(323) 295-1136
(323) 295-1136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
190636 AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190636 AN
MEDI CAL
CA
Enumeration date
04/20/2013
Last updated
04/20/2013
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