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Organization
MEMORYCO, LLC
Active
Organization
MEMORYCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI S TITIZ PH.D. (CHIEF EXECUTIVE OFFICER)
(650) 521-3452
Entity
Organization
Contact information
Practice address
2248 SAINT BERNARD DRIVE, PINE MOUNTAIN CLUB, CA 93222
(323) 486-3626
Mailing address
PO BOX 5253, PINE MOUNTAIN CLUB, CA 93222-5253
(323) 486-3626
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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