Individual
BILLIE JO SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 INDUSTRY WAY, SUITE A, LYNWOOD, CA 90262-4283
(310) 631-8004
Mailing address
2610 INDUSTRY WAY, SUITE A, LYNWOOD, CA 90262-4283
(310) 631-8004
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
246RP1900X
Phlebotomy Technician
Primary
B5N4NB9
CA
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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