Individual
MS. JANICE MARIE MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 517-2648
Mailing address
319 AVENUE G, REDONDO BEACH, CA 90277-5152
(310) 316-0852
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
0006776
CA
Other
Enumeration date
08/04/2018
Last updated
08/04/2018
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