Individual
CARLITA WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11133 WASHINGTON BLVD, CULVER CITY, CA 90232-3918
(310) 895-2300
(310) 895-2395
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
01/07/2015
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