Individual
AMIYOKO A SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 COLUMBIA AVE STE 310, LOS ANGELES, CA 90017-1209
(213) 368-1888
Mailing address
515 COLUMBIA AVE STE 310, LOS ANGELES, CA 90017-1209
(213) 368-1888
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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