Individual
BRENDA PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11303 W WASHINGTON BLVD STE 200, LOS ANGELES, CA 90066-6003
(310) 482-6600
(310) 313-0813
Mailing address
11303 W WASHINGTON BLVD STE 200, LOS ANGELES, CA 90066-6003
(310) 482-6600
(310) 313-0813
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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