Individual
MS. FAITH STOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11645 WILSHIRE BLVD STE 745, LOS ANGELES, CA 90025-6800
(310) 696-0100
Mailing address
11645 WILSHIRE BLVD STE 745, LOS ANGELES, CA 90025-6800
(310) 696-0100
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
20245
CA
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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