Individual
MISS LEITA PAWLINE LAWRENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S BEACH BLVD # 132, ANAHEIM, CA 92804
(714) 300-4545
Mailing address
900 S BEACH BLVD # 132, ANAHEIM, CA 92804
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/23/2019
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