Individual
MS. FIONA MACKENZIE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1284 HAVENHURST DR, APT. #107, WEST HOLLYWOOD, CA 90046-4956
(323) 822-0795
Mailing address
1284 HAVENHURST DR, APT. #107, WEST HOLLYWOOD, CA 90046-4956
(323) 822-0795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT16981
CA
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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