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Individual

ALI MAKANGU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14659 OLIVE VIEW DR, SYLMAR, CA 91342-1652
(818) 485-0868
Mailing address
14659 OLIVE VIEW DR, SYLMAR, CA 91342-1652
(818) 485-0868

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00846392
CA

Other

Enumeration date
10/29/2015
Last updated
10/29/2015
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