Individual
AMY AYLINE MANCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
(323) 563-4800
Mailing address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
(323) 594-5159
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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