Individual
IVY MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7745 LEEDS ST, DOWNEY, CA 90242-3489
(562) 719-2866
Mailing address
7745 LEEDS ST, DOWNEY, CA 90242-3489
(562) 719-2866
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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