Individual
GARY LAMAR LAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3881 S WESTERN AVE, LOS ANGELES, CA 90062-1105
(323) 290-4365
Mailing address
246 S KENMORE AVE, #303, LOS ANGELES, CA 90004-5655
(424) 244-1471
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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