Organization
AFTERGLOW DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIZA MARIE VISMANOS (PRESIDENT)
(310) 321-7818
Entity
Organization
Contact information
Practice address
1600 ROSECRANS AVE, BLDG 7, 4TH FLOOR, MANHATTAN BEACH, CA 90266-3708
(310) 321-7818
(310) 667-8818
Mailing address
1600 ROSECRANS AVE, BLDG 7, 4TH FLOOR, MANHATTAN BEACH, CA 90266-3708
(310) 321-7818
(310) 667-8818
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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