Individual
ANTHONY GAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
618 W VERNON AVE, LOS ANGELES, CA 90037-2612
(323) 809-7433
Mailing address
618 W VERNON AVE, LOS ANGELES, CA 90037-2612
(323) 809-7433
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
N7466266
CA
Other
Enumeration date
08/29/2024
Last updated
09/03/2024
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