Organization
FANNIES DAUGHTERS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA MCKENZIE (OWNER)
(901) 412-4345
Entity
Organization
Contact information
Practice address
3650 W MARTIN LUTHER KING JR BLVD, 185, LOS ANGELES, CA 90008-1700
(323) 294-4266
Mailing address
4303 DON DIABLO DR, LOS ANGELES, CA 90008-4309
(901) 412-4345
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
A45867
CA
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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