Individual
CASEY HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5835 S EASTERN AVE # 20, COMMERCE, CA 90040-4029
(323) 384-4616
Mailing address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107987
CA
Other
Enumeration date
12/16/2021
Last updated
06/05/2024
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