Individual
CHARLES HORICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 E 84TH ST, LOS ANGELES, CA 90003-3104
(323) 816-6399
Mailing address
414 E 84TH ST, LOS ANGELES, CA 90003-3104
(323) 816-6399
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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