Individual
MARY ALICE SWINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3437 STOCKER ST APT 4, LOS ANGELES, CA 90008-3730
(323) 377-5177
Mailing address
3437 STOCKER ST APT 4, LOS ANGELES, CA 90008-3730
(323) 377-5177
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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