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Individual

MARY CAROL TERRITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095-3075
(310) 206-6909
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 206-6909

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C34130
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C341300
CA
Enumeration date
07/20/2006
Last updated
07/23/2010
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