Individual
SHARON PALACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 W MARTIN LUTHER KING JR BLVD, LOS ANGELES, CA 90008-2727
(323) 302-3027
Mailing address
7381 LA TIJERA BLVD UNIT 45383, LOS ANGELES, CA 90045-7019
(562) 646-6413
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
KK395465
CA
Other
Enumeration date
01/24/2021
Last updated
08/23/2021
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