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Individual

MARCIA FREEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2250 GRAND AVE, LONG BEACH, CA 90815
(562) 972-2676
Mailing address
2250 GRAND AVE, LONG BEACH, CA 90815-2504
(562) 972-2676

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN205255
CA

Other

Enumeration date
12/23/2013
Last updated
12/23/2013
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