Individual
TAVAION SOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6041 BRISTOL PKWY # 100, CULVER CITY, CA 90230-6601
(213) 425-5507
Mailing address
6041 BRISTOL PKWY # 100, CULVER CITY, CA 90230-6601
(213) 425-5507
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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