Individual
DEMETRIA MCCALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
Mailing address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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