Individual
CARLA WORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13701 SPINNING AVE, GARDENA, CA 90249-2362
(323) 393-5536
Mailing address
13701 SPINNING AVE, GARDENA, CA 90249-2362
(323) 393-5536
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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