Individual
MRS. CHURAIRAT MAFFEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 S PATTON AVE, SAN PEDRO, CA 90731
(310) 767-6712
Mailing address
1305 S PATTON AVE, SAN PEDRO, CA 90731-3805
(310) 767-6712
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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