Individual
ENID MARCIA DRAPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15305 RAYEN ST, NORTH HILLS, CA 91343-5117
(181) 892-3423
Mailing address
1627 N LAUREL AVE, APT. 5, LOS ANGELES, CA 90046-2558
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PL20288
LA COUNTY DMH
CA
Enumeration date
03/08/2007
Last updated
07/08/2007
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