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Individual

LIDA SELEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1606 S SHENANDOAH ST, LOS ANGELES, CA 90035-4413
(310) 497-2086
Mailing address
1606 S SHENANDOAH ST, LOS ANGELES, CA 90035-4413

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CA

Other

Enumeration date
07/16/2012
Last updated
07/16/2012
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