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Individual

LACHANDA FRADIVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3756 SANTA ROSALIA DR STE 424, LOS ANGELES, CA 90008-3614
(562) 608-7084
Mailing address
3756 SANTA ROSALIA DR STE 424, LOS ANGELES, CA 90008-3614
(562) 608-7084

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
225400000X
Rehabilitation Practitioner
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
09/24/2021
Last updated
10/02/2025
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