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Organization

ITINERANT BARBER AND BEAUTY

Active
Other names
A Gentlemans Gent Mr. Drew Spangler
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DREW SPANGLER (OWNER)
(213) 388-5683
Entity
Organization

Contact information

Practice address
3355 WILSHIRE BLVD, SUITE 1406-B, LOS ANGELES, CA 90010-1837
(213) 388-5683
Mailing address
3355 WILSHIRE BLVD, SUITE 1406-B, LOS ANGELES, CA 90010-1837
(213) 388-5683

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
173C00000X
Reflexologist
174400000X
Specialist
246Z00000X
Other Specialist/Technologist
Primary
247200000X
Other Technician
251E00000X
Home Health Agency
251V00000X
Voluntary or Charitable Agency
253Z00000X
In Home Supportive Care Agency
347C00000X
Private Vehicle
374700000X
Technician
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376K00000X
Nurse's Aide

Other

Enumeration date
10/25/2012
Last updated
10/25/2012
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