Individual
SHAQUANDA BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12422 ELVA AVE, LOS ANGELES, CA 90059-3248
(323) 804-5003
Mailing address
12422 ELVA AVE, LOS ANGELES, CA 90059-3248
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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