Individual
DEBRA ELAINE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3756 SANTA ROSALIA DR, LOS ANGELES, CA 90008-3606
(213) 291-9039
(323) 290-0195
Mailing address
PO BOX 56145, LOS ANGELES, CA 90056-0145
(213) 291-9039
(323) 290-0195
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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