Individual
ANNEL CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15803 S MAPLE AVE, GARDENA, CA 90248-2534
(310) 503-2072
Mailing address
15803 S MAPLE AVE, GARDENA, CA 90248-2534
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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