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Organization
MEDI-CURE HEALTH SERVICES, INC
Active
Organization
MEDI-CURE HEALTH SERVICES, INC
Active
Other names
Simons Middle School
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
900 E FRANKLIN AVE, POMONA, CA 91766-5362
(323) 295-1136
(323) 295-1071
Mailing address
3756 SANTA ROSALIA DR, 417, LOS ANGELES, CA 90008-3606
(323) 295-1136
(232) 295-1071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190636 AN
MEDICAL
CA
Enumeration date
04/20/2013
Last updated
04/20/2013
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