Individual
ALTHEA IRVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6055 E WASHINGTON BLVD, COMMERCE, CA 90040-2449
(323) 346-0960
Mailing address
1200 E 2ND ST, LONG BEACH, CA 90802-5734
(562) 437-8896
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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