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Organization
CRYOGEN LA
Active
Organization
CRYOGEN LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAEVON TAYLOR (OWNER)
(310) 800-3075
Entity
Organization
Contact information
Practice address
17331 WALL ST, CARSON, CA 90746-1166
(310) 844-1190
Mailing address
17331 WALL ST, CARSON, CA 90746-1166
(310) 844-1190
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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