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Individual

KATRICE M BENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
838 E 119TH ST, LOS ANGELES, CA 90059-2720
(310) 920-2971
Mailing address
838 E 119TH ST, LOS ANGELES, CA 90059-2720
(310) 920-2971

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
05/12/2023
Last updated
05/12/2023
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