Individual
BABRA CHINWE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 GINA DR, CARSON, CA 90745-3619
(310) 533-7582
Mailing address
412 GINA DR, CARSON, CA 90745-3619
(310) 533-7582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95014170
CA
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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