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Organization

BLACK WOMEN FOR WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANETTE ROBINSON FLINT (EXECUTIVE DIRECTOR)
(323) 290-5955
Entity
Organization

Contact information

Practice address
4340 11TH AVE, LOS ANGELES, CA 90008-5205
(323) 290-5955
Mailing address
PO BOX 292516, LOS ANGELES, CA 90029-7516
(323) 290-5955

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CA
251V00000X
Voluntary or Charitable Agency
CA

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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