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Organization

PLASMAGENIX MEDICAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ARTENCIA GARRETT CMA, EMT-P (DIRECTOR OF OPERATIONS)
(323) 810-0742
Entity
Organization

Contact information

Practice address
455 N PRAIRIE AVE, INGLEWOOD, CA 90301-1413
(310) 412-0183
(310) 412-0015
Mailing address
455 N PRAIRIE AVE, INGLEWOOD, CA 90301-1413
(310) 412-0183
(310) 412-0015

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A100364
CA

Other

Enumeration date
12/13/2013
Last updated
12/13/2013
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