Individual
IVY NORTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40747 GLENEAGLES CT, PALMDALE, CA 93551-5622
(747) 206-8752
Mailing address
5671 W AVENUE L4, LANCASTER, CA 93536-4412
(747) 206-8752
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
CA
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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