Individual
MS. MADELINE FRY X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA, NHA
Contact information
Practice address
941 1/2 HILGARD AVE, LOS ANGELES, CA 90024-3032
(310) 405-5758
Mailing address
11693 SAN VICENTE BLVD # 143, LOS ANGELES, CA 90049-5105
(310) 405-5758
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
5356
CA
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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