Individual
CAREEN NICHOLAS DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
1720 E 120TH ST, FIRST FLOOR, LOS ANGELES, CA 90059-3052
(310) 668-4499
(310) 223-0621
Mailing address
2330 S CORNING ST, LOS ANGELES, CA 90034-2164
(310) 204-1833
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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