Individual
MR. PITOU MEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 W 12TH ST, LONG BEACH, CA 90813-2720
(562) 733-1147
(562) 733-1157
Mailing address
1726 GUNDRY AVE APT 7, LONG BEACH, CA 90813-2338
(562) 733-1147
(562) 733-1157
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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