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Individual

MARIA KOOTSIKAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MARIA KOOTSIKAS

Contact information

Practice address
1502 S. CRESCENT HEIGHTS BOULEVARD, LOS ANGELES, CA 90035-3816
(323) 933-0531
Mailing address
1502 S. CRESCENT HEIGHTS BLVD, LOS ANGELES, CA 90035-3816
(323) 933-0531

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
35821
CA

Other

Enumeration date
01/06/2010
Last updated
01/06/2010
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