Individual
ROCIO DANCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034
(323) 857-3595
Mailing address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
27890
CA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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